Posterior Surgical Decompression and Fusion Augmented with Internal Fixation in Thoracic and Lumbar Spondylodiscitis; is it Possible?

Background Data: Posterior surgical treatment of spinal infections was adopted since 1912. However, most authors strictly advocated anterior or anterolateral debridement and subsequent bone grafting and fixation. These procedures often bear a high risk for elderly and debilitated patients. Purpose:...

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Autores principales:	Ehab El Gamal, Ashraf Farid
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2013
Materias:	Spondylodiscits kyphosis internal fixation fusion Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/2ed7adaae5fa4e7c8657f9c7c95dfd5e
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spelling	oai:doaj.org-article:2ed7adaae5fa4e7c8657f9c7c95dfd5e2021-12-02T00:50:31ZPosterior Surgical Decompression and Fusion Augmented with Internal Fixation in Thoracic and Lumbar Spondylodiscitis; is it Possible?DOI:10.21608/ESJ.2013.38192314-89502314-8969https://doaj.org/article/2ed7adaae5fa4e7c8657f9c7c95dfd5e2013-04-01T00:00:00Zhttp://esj.journals.ekb.eg/article_3819.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Posterior surgical treatment of spinal infections was adopted since 1912. However, most authors strictly advocated anterior or anterolateral debridement and subsequent bone grafting and fixation. These procedures often bear a high risk for elderly and debilitated patients. Purpose: To assess the efficacy of posterior surgical decompression, fusion and fixation in thoracic and lumbar spine spondylodiscitis. Study Design: A retrospective clinical case study. Patients and Methods: Fifteen patients suffering from thoracic and lumbar spondylodiscitis, both tuberculous and non-tuberculous, underwent posterior surgical decompression with posterolateral and interbody fusion augmented with posterior fixation, according to the degree of vertebral wedging, the kyphotic angle and high surgical risk for anterior procedures. Results: Neither of our patients deteriorated as regards the motor power. Improvement of the kyphotic and lordotic angles was evident in post-operative images. Eleven of our 15 cases (73%) improved to variable degrees, (from C to E Frankel grading); four patients had the same motor power as pre-operatively. Conclusion: It is possible to perform posterior surgical decompression and fusion augmented with internal fixation in thoracic & lumbar spondylodiscitis in one or more of the following: (1) those of high anesthetic risk for circumferential surgery, (2) kyphotic angel not more than 10º beyond the normal range in dorsal spine (3) the percentage of the anterior and posterior vertebral height is ≤ 30% (4) diminished or loss of lumbar lordosis, (5) average body weight. (2013ESJ046)Ehab El Gamal Ashraf FaridEgyptian Spine AssociationarticleSpondylodiscitskyphosisinternal fixationfusionNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 6, Iss 1, Pp 45-52 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Spondylodiscits kyphosis internal fixation fusion Neurology. Diseases of the nervous system RC346-429
spellingShingle	Spondylodiscits kyphosis internal fixation fusion Neurology. Diseases of the nervous system RC346-429 Ehab El Gamal Ashraf Farid Posterior Surgical Decompression and Fusion Augmented with Internal Fixation in Thoracic and Lumbar Spondylodiscitis; is it Possible?
description	Background Data: Posterior surgical treatment of spinal infections was adopted since 1912. However, most authors strictly advocated anterior or anterolateral debridement and subsequent bone grafting and fixation. These procedures often bear a high risk for elderly and debilitated patients. Purpose: To assess the efficacy of posterior surgical decompression, fusion and fixation in thoracic and lumbar spine spondylodiscitis. Study Design: A retrospective clinical case study. Patients and Methods: Fifteen patients suffering from thoracic and lumbar spondylodiscitis, both tuberculous and non-tuberculous, underwent posterior surgical decompression with posterolateral and interbody fusion augmented with posterior fixation, according to the degree of vertebral wedging, the kyphotic angle and high surgical risk for anterior procedures. Results: Neither of our patients deteriorated as regards the motor power. Improvement of the kyphotic and lordotic angles was evident in post-operative images. Eleven of our 15 cases (73%) improved to variable degrees, (from C to E Frankel grading); four patients had the same motor power as pre-operatively. Conclusion: It is possible to perform posterior surgical decompression and fusion augmented with internal fixation in thoracic & lumbar spondylodiscitis in one or more of the following: (1) those of high anesthetic risk for circumferential surgery, (2) kyphotic angel not more than 10º beyond the normal range in dorsal spine (3) the percentage of the anterior and posterior vertebral height is ≤ 30% (4) diminished or loss of lumbar lordosis, (5) average body weight. (2013ESJ046)
format	article
author	Ehab El Gamal Ashraf Farid
author_facet	Ehab El Gamal Ashraf Farid
author_sort	Ehab El Gamal
title	Posterior Surgical Decompression and Fusion Augmented with Internal Fixation in Thoracic and Lumbar Spondylodiscitis; is it Possible?
title_short	Posterior Surgical Decompression and Fusion Augmented with Internal Fixation in Thoracic and Lumbar Spondylodiscitis; is it Possible?
title_full	Posterior Surgical Decompression and Fusion Augmented with Internal Fixation in Thoracic and Lumbar Spondylodiscitis; is it Possible?
title_fullStr	Posterior Surgical Decompression and Fusion Augmented with Internal Fixation in Thoracic and Lumbar Spondylodiscitis; is it Possible?
title_full_unstemmed	Posterior Surgical Decompression and Fusion Augmented with Internal Fixation in Thoracic and Lumbar Spondylodiscitis; is it Possible?
title_sort	posterior surgical decompression and fusion augmented with internal fixation in thoracic and lumbar spondylodiscitis; is it possible?
publisher	Egyptian Spine Association
publishDate	2013
url	https://doaj.org/article/2ed7adaae5fa4e7c8657f9c7c95dfd5e
work_keys_str_mv	AT ehabelgamal posteriorsurgicaldecompressionandfusionaugmentedwithinternalfixationinthoracicandlumbarspondylodiscitisisitpossible AT ashraffarid posteriorsurgicaldecompressionandfusionaugmentedwithinternalfixationinthoracicandlumbarspondylodiscitisisitpossible
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Posterior Surgical Decompression and Fusion Augmented with Internal Fixation in Thoracic and Lumbar Spondylodiscitis; is it Possible?

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