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Debridement and corpectomy via single posterior approach to treat pyogenic spondylitis after vertebral augmentation
- Source :
- BMC Musculoskeletal Disorders, BMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-8 (2021)
- Publication Year :
- 2021
- Publisher :
- BioMed Central, 2021.
-
Abstract
- Background Infection after vertebral augmentation (VA) often limits the daily activities of patients and even threatens their life. The operation may be one of the effective treatments if the patient suffers from intolerable severe pain, neurological deficits, and damage to spinal stability. This study aimed to investigate the clinical efficacy of the treatment of pyogenic spondylitis after vertebral augmentation (PSVA) with Single posterior debridement, vertebral body resection, and intervertebral bone graft fusion and internal fixation (sPVRIF). Methods The study was performed on 19 patients with PSVA who underwent VA at 4 hospitals in the region between January 2010 and July 2020. Nineteen patients were included. Among them, 16 patients underwent sPVRIF to treat the PSVA. Results A total of 2267 patients underwent VA at 4 hospitals in the region. Of the 19 patients with postoperative PSVA, suppurative spondylitis was misdiagnosed as an osteoporotic vertebral fracture(OVF) in 4 patients and they underwent VA. Besides osteoporosis, 18 patients had other comorbidities. The average interval between the first surgery and the diagnosis of PSVA was 96.4 days. Of the 19 patients, 16 received surgical treatment. The surgical time was 175.0±16.8 min, and the intraoperative blood loss was 465.6±166.0 mL. Pathogenic microorganisms were cultured in 12 patients. Conclusion PSVA is a severe complication that can even threaten the life of the patients. sPVRIF may be one of the effective treatments if the patient suffers from intolerable severe pain, neurological deficits, and damage to spinal stability.
- Subjects :
- medicine.medical_specialty
Sports medicine
medicine.medical_treatment
Osteoporosis
Diseases of the musculoskeletal system
Thoracic Vertebrae
03 medical and health sciences
0302 clinical medicine
Rheumatology
Internal medicine
Single posterior approach
Vertebral augmentation
medicine
Internal fixation
Humans
Orthopedics and Sports Medicine
030212 general & internal medicine
Corpectomy
Spondylitis
Debridement
Lumbar Vertebrae
business.industry
Pyogenic spondylitis
medicine.disease
Clinical efficacy
Spine
Surgery
Spinal Fusion
Treatment Outcome
RC925-935
Orthopedic surgery
Spinal Fractures
business
030217 neurology & neurosurgery
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 14712474
- Volume :
- 22
- Database :
- OpenAIRE
- Journal :
- BMC Musculoskeletal Disorders
- Accession number :
- edsair.doi.dedup.....b844ed3496d93bb1e1b07b13a9cbfd4f