Abstract |
Spontaneous infectious spondylodiscitis (SIS) is an uncommon condition. The purpose of this retrospective study of 10 adult patients (6 males and 4 females, average age 52 years), all with lumbar SIS and epidural abscess, was to analyze the efficacy of single-stage posterior debridement plus single-level interbody grafting with autologous bone, and transpedicular screw-rod instrumentation. The mean follow-up period was 43 months, with a minimum of 30 months. The back pain was relieved within 3 to 8 days after surgery. Neurologic deficits, present in 5 cases, all improved. Solid fusion was achieved at 6 months in all 10 cases. The mean VAS for pain improved from 7.5 to 1.6, the mean Oswestry Disability Index from 57.8% to 8.1%. The mean physical component of SF-36 (PCS) improved from 32.4% to 54.7%, the mean mental component of SF-36 (MCS) improved from 33.8% to 57.2%. All these changes were significant (p < 0.001). No recurrence of infection was noted. The outcome was quite satisfactory in terms of fusion rate and quality of life.
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Authors | Liang Zhang, Wei-Hua Cai, Bo Huang, Lin-Wei Chen, Ning Zhang, Bin Ni |
Journal | Acta orthopaedica Belgica
(Acta Orthop Belg)
Vol. 77
Issue 6
Pg. 816-22
(Dec 2011)
ISSN: 0001-6462 [Print] Belgium |
PMID | 22308629
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Bacterial Infections
(complications)
- Debridement
(methods)
- Discitis
(diagnosis, microbiology, surgery)
- Epidural Abscess
(complications, microbiology)
- Female
- Humans
- Lumbar Vertebrae
(surgery)
- Male
- Middle Aged
- Spinal Fusion
(methods)
- Spondylitis
(microbiology, surgery)
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