Three-Staged Surgical Strategy as a Combined Approach for Multilevel Cervical Pyogenic Spondylodiscitis
| Autor: | Toshiki Fukuoka, Manabu Mutoh, Osamu Suzuki, Shinnosuke Hattori |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Surgical strategy cervical pyogenic spondylodiscitis business.industry medicine.medical_treatment Long bone General Engineering Neurosurgery spinal instrumentation Cervical regions Combined approach Surgery medicine.anatomical_structure Posterior fixation Orthopedics anterior cervical corpectomy Cervical laminectomy Neurology combined anterior posterior surgery Pyogenic spondylodiscitis medicine Corpectomy business halo brace |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Cervical pyogenic spondylodiscitis is rare but can lead to severe clinical problems that often require aggressive surgical treatment for neurological deterioration and life-threatening conditions. Although combined surgical procedures are often utilized to treat multilevel cervical regions, there is a clinical debate regarding the appropriate order and timing of surgeries using the anterior and posterior approaches. Here, we report a case of severe multilevel cervical pyogenic spondylodiscitis treated using a three-staged surgical strategy consisting of cervical laminectomy, posterior fixation, and anterior corpectomy and fusion with an autologous long bone graft; the outcome was quite favorable. Our report demonstrates the safety and usefulness of three-staged surgery in the multilevel cervical region, especially under urgent situations. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|