Simultaneous versus sequential one-stage combined anterior and posterior spinal surgery for spinal infections (outcomes and complications)

Autor: Muren Mutlu, Ali Sehirlioglu, Cagatay Ozturk, Recep Vural, Ufuk Aydinli
Přispěvatelé: Uludağ Üniversitesi/Tıp Fakültesi/Ortopedi ve Travmatoloji Anabilim Dalı., Öztürk, Çağatay, Aydınlı, Ufuk, Vural, Recep, Mutlu, Muren
Rok vydání: 2006
Předmět:
Male
Blood transfusion
medicine.medical_treatment
Surgical approach
Kyphosis
Postoperative Complications
Anesthesia
Orthopedics and Sports Medicine
Priority journal
Vertebra
Osteomyelitis
Middle Aged
Management
Spondylitis
Epidural Abscess
Operation duration
Statistical analysis
Spinal fusion
Spine stabilization
Female
Sex ratio
Age distribution
Human
Adult
medicine.medical_specialty
Major clinical study
Article
Spinal cord decompression
Spine surgery
medicine
Paralysis
Humans
Blood Transfusion
Fusion
Aged
Retrospective Studies
Original Paper
Intermethod comparison
business.industry
Bleeding
One stage
Surgical technique
Retrospective cohort study
Follow up
Pyogenic vertebral osteomyelitis
medicine.disease
Spinal cord infection
Spinal surgery
Postoperative complication
Surgery
Outcome assessment
Orthopedics
Spinal Fusion
Debridement
Orthopedic surgery
business
Controlled study
Zdroj: International Orthopaedics. 31:363-366
ISSN: 1432-5195
0341-2695
DOI: 10.1007/s00264-006-0166-z
Popis: To compare simultaneous with sequential one-stage (same anaesthesia) combined anterior and posterior spinal surgery in the treatment of spinal infections in terms of the operation time, blood loss and complication rate. Fifty-six patients who underwent one-stage (same anaesthesia) simultaneous or sequential anterior decompression and posterior stabilisation of the involved vertebrae for spinal infection from January 1994 to December 2002 were reviewed. In group I (n=29), sequential anterior and posterior surgery was performed. In group II (n=27), simultaneous anterior and posterior spinal surgery was performed. With regard to age and gender, there was no statistical difference between both groups (P=0.05). The analysed and compared data between the two groups included the age, gender, blood loss, operation time and postoperative complications. There was a statistically significant difference between the two groups in terms of the duration of surgery, amount of blood transfusion needed and occurrence of major postoperative complications (P < 0.05). The mean correction of the kyphotic deformity was similar in both groups (P > 0.05) without a subsequent loss of correction on follow-up radiographic films at a mean follow-up of 6.5 years (range, 3 to 11 years). Simultaneous anterior and posterior surgery is a good alternative procedure. It provides the ability to manipulate both anterior and posterior aspects of the spine at the same time and appears to result in less blood loss, a shorter operative time and fewer complications. However, gaining experience and the availability of two surgical teams are important factors in the success of the procedure.
Databáze: OpenAIRE
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