Staff Members - Benha University
TREATMENT OF SPONTANEOUS ADULT THORACOLUMBAR SPONDYLODISCITIS WITH INTERBODY FUSION USING AUTOGENOUS BONE FROM DECORTICATED SPINOUS PROCESS SUPPLANTED WITH POSTEROLATERAL TRANSPEDICULAR ROD-SCREW FIXATION
Medical journal of cairo University • 2020
Publication Information
Authors
Mahmoud M. Wahdan MD , Moataz A. Elawady, MD, MD and Ahmed M. Deabes, MD
Keywords
spondylodiscitis – lumbar interbody fusion – autogenous bone graft
Journal
Medical journal of cairo University
Publisher
Not Available
Volume
Not Available
Issue
June 2020
Pages
Not Available
publication.type
Local
Paper Link
Not Available
Supplementary Materials
Not Available
Abstract
BACKGROUND: Spontaneous spondylodiscitis, although rare, but carries the risk of developing neurological impairment
AIM OF THE STUDY: we aim at introducing our experience with the treatment of spontaneous adult spondylodiscitis with interbody fusion using autogenous bone from decorticated spinous process supplanted with posterolateral transpedicular rod-screw fixation at the Neurosurgery Department of Benha University Hospital between January 2015 and November 2019.
PATIENTS AND METHODS: Between January 2015 and November 2019, among 51 patients who were diagnosed with pyogenic thoracolumbar spondylodiscitis, 12 patients (8 males and 4 females) underwent curettage, drainage and interbody fusion using autogenous bone from the removed spinous process augmented with transpedicular rod-screw fixation.
RESULTS: all patients, but one, showed improvement of their preoperative pain and the level of inflammatory markers in the blood. This patient was diagnosed as having screw pull-out and needed surgical reinsertion with a larger screw.
CONCLUSIONS: lumbar interbody fusion using autogenous bone from decorticated spinous process supplanted with posterolateral transpedicular rod-screw fixation represents a reasonable substitute to the traditional anterior curettage, stabilization with additional posterior rod-screw fixation for the treatment of spontaneous lumbar spondylodiscitis
AIM OF THE STUDY: we aim at introducing our experience with the treatment of spontaneous adult spondylodiscitis with interbody fusion using autogenous bone from decorticated spinous process supplanted with posterolateral transpedicular rod-screw fixation at the Neurosurgery Department of Benha University Hospital between January 2015 and November 2019.
PATIENTS AND METHODS: Between January 2015 and November 2019, among 51 patients who were diagnosed with pyogenic thoracolumbar spondylodiscitis, 12 patients (8 males and 4 females) underwent curettage, drainage and interbody fusion using autogenous bone from the removed spinous process augmented with transpedicular rod-screw fixation.
RESULTS: all patients, but one, showed improvement of their preoperative pain and the level of inflammatory markers in the blood. This patient was diagnosed as having screw pull-out and needed surgical reinsertion with a larger screw.
CONCLUSIONS: lumbar interbody fusion using autogenous bone from decorticated spinous process supplanted with posterolateral transpedicular rod-screw fixation represents a reasonable substitute to the traditional anterior curettage, stabilization with additional posterior rod-screw fixation for the treatment of spontaneous lumbar spondylodiscitis