Medium-term outcome of posterior surgery in the treatment of non-tuberculous bacterial spinal infection

被引：4

作者：

Aljawadi, Ahmed ^{[1
]}

Sethi, Gagan ^{[2
]}

Imo, Eze ^{[3
]}

Arnall, Frances ^{[4
]}

Choudhry, Muhammad Naghman ^{[5
]}

George, Kuriakose Joshi ^{[6
]}

Tambe, Anant ^{[5
]}

Verma, Rajat ^{[5
]}

Yasin, Mohammed Naveed ^{[5
]}

Mohammed, Saeed ^{[5
]}

Siddique, Irfan ^{[5
]}

机构：

[1] Univ Salford, Trauma & Orthopaed, Salford M5 4WT, Lancs, England

[2] Univ Salford, Trauma & Orthopaed Spinal, Manchester, Lancs, England

[3] Wirral Univ Teaching Hosp NHS Fdn Trust, Trauma & Orthopaed, Arrowe Pk Hosp, Merseyside CH49 5PE, England

[4] Univ Salford, Sch Hlth Sci, Allerton Bldg C711,Fredrick Rd Campus, Salford M6 9PU, Lancs, England

[5] Salford Royal NHS Trust, Dept Spinal Surg, Stott Lane, Salford M6 8HD, Lancs, England

[6] Salford Royal NHS Trust, Dept Neurosurg, Stott Lane, Salford M6 8HD, Lancs, England

来源：

JOURNAL OF ORTHOPAEDICS | 2019年 / 16卷 / 06期

关键词：

Spine; Spondylodiscitis; Discitis; Infection; Surgery; VERTEBRAL OSTEOMYELITIS; SURGICAL-TREATMENT; SPONDYLODISCITIS; INSTRUMENTATION; STABILIZATION; DEBRIDEMENT; MANAGEMENT; TITANIUM; FUSION; CAGES;

D O I：

10.1016/j.jor.2019.06.021

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Objective: to evaluate the outcome of posterior spinal stabilization surgery for the management of bacterial spinal infection. Methods: 21 patients with bacterial infection were managed surgically with posterior stabilization. Outcome measures included neurological status. Follow-up data collected using Spine Tango COMI questionnaires and Euro Qol EQ-5D. Results: The mean improvement in neurological deficits was 0.91 Frankel grade. Residual symptoms of pain had no or minor effect on the work or usual activities in 52% of subjects, with 88% reported having either no or mid problems with mobility. Conclusion: Posterior surgery can improve neurological outcome in approximately half of the patients.

引用

页码：569 / 575

页数：7

共 25 条

[1] Surgical management of nontuberculous thoracic and lumbar vertebral osteomyelitis: Report of 33 cases [J].

Arnold, PM ;

Baek, PN ;

Bernardi, RJ ;

Luck, EA ;

Larson, SJ .

SURGICAL NEUROLOGY, 1997, 47 (06) :551-561

[2] American Society of Anaesthesiologists physical status classification [J].

Daabiss, Mohamed .

INDIAN JOURNAL OF ANAESTHESIA, 2011, 55 (02) :111-115

[3] Primary stable anterior instrumentation or dorsoventral spondylodesis in spondylodiscitis?: Results of a comparative study [J].

Eysel P. ;

Hopf Ch. ;

Vogel I. ;

Rompe J.-D. .

European Spine Journal, 1997, 6 (3) :152-157

[4]

Fayazi Amir H, 2004, Spine J, V4, P388, DOI 10.1016/j.spinee.2004.01.004

[5]

Frankel H L, 1969, Paraplegia, V7, P179

[6] Hematogenous pyogenic spinal infections and their surgical management [J].

Hadjipavlou, AG ;

Mader, JT ;

Necessary, JT ;

Muffoletto, AJ .

SPINE, 2000, 25 (13) :1668-1679

[7] Posterior Transdiscal Three-Column Shortening in the Surgical Treatment of Vertebral Discitis/Osteomyelitis With Collapse [J].

Halpern, Elise M. ;

Bacon, Sarah A. ;

Kitagawa, Tomoaki ;

Lewis, Stephen J. .

SPINE, 2010, 35 (13) :1316-1322

[8] Septic hematogenous lumbar spondylodiscitis in elderly patients with multiple risk factors: efficacy of posterior stabilization and interbody fusion with iliac crest bone graft [J].

Hempelmann, Ralf G. ;

Mater, Eckhardt ;

Schoen, Ralph .

EUROPEAN SPINE JOURNAL, 2010, 19 (10) :1720-1727

[9] Surgical treatment of spondylodiscitis in the cervical spine:: a minimum 2-year follow-up [J].

Heyde, Christoph E. ;

Boehm, Heinrich ;

El Saghir, Hesham ;

Tschoeke, Sven K. ;

Kayser, Ralph .

EUROPEAN SPINE JOURNAL, 2006, 15 (09) :1380-1387

[10] Spondylodiscitis. A retrospective study of 163 patients [J].

Karadimas, Efthimios J. ;

Bunger, Cody ;

Lindblad, Bend Erling ;

Hansen, Ebbe Stender ;

Hoy, Kristian ;

Helmig, Peter ;

Kannerup, Anne Sofie ;

Niedermann, Bent .

ACTA ORTHOPAEDICA, 2008, 79 (05) :650-659

← 1 2 3 →