A vascular pedicled duplicated fibula transplant for treatment of lumbar instability following tuberculous spondylodiscitis

被引:0
作者
Michael J.W.-P. [1 ,7 ]
Brunkwall J. [2 ]
Fätkenheuer G. [3 ]
Seifert H. [4 ]
Winnekendonk G. [5 ]
Zöller J.E. [6 ]
Eysel P. [1 ]
机构
[1] Klinik und Poliklinik für Orthopädie, Universität Zu Köln
[2] Abteilung für Gefäßchirurgie, Universität Zu Köln
[3] Klinik für Innere Medizin, Universität Zu Köln
[4] Institut für Med. Mikrobiologie, Immunologie und Hygiene, Universität Zu Köln
[5] Institut für Diagnostische Radiologie, Universität Zu Köln
[6] Klinik für Mund-, Kiefer- und Gesichtschirurgie, Universität Zu Köln
[7] Klinik und Poliklinik für Orthopädie, Universität Zu Köln, 50924 Köln
来源
Der Unfallchirurg | 2007年 / 110卷 / 1期
关键词
Fibular bone graft; Lumbar spine instability; Tuberculous spondylodiscitis; Vascularised stem;
D O I
10.1007/s00113-006-1173-7
中图分类号
学科分类号
摘要
Operative treatment of tuberculous spondylodiscitis is still an important part of the treatment for lumbar spine instability. We report on a patient who suffered an extensive relapse with microbiological confirmation of tuberculous spondylodiscitis following operative spinal treatment for unspecific spondylodiscitis. X-Ray examination showed development of pronounced lumbar instability, which was first treated with the aid of an external fixateur and later by means of a doubled fibular bone graft with a vascularised stem with no dorsal instrumentation, which led to bony consolidation. © 2006 Springer Medizin Verlag.
引用
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页码:86 / 88
页数:2
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