Comparative Study between Titanium Mesh and Autogenous Iliac Bone Graft through Anterior Approach for Treatment of Lumbar Spondylodiscitis
Background: Spondylodiscitis is an inflammation of the vertebral disk space often related to infection. Different treatment modalities were present. However, no full consensus is found about the ideal treatment. Aim of the work: To compare between titanium mesh and autogenous iliac bone graft throu...
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Al-Azhar University, Faculty of Medicine (Damietta)
2020
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oai:doaj.org-article:ced9399204e4447cb436063d3918187d2021-12-02T14:02:01ZComparative Study between Titanium Mesh and Autogenous Iliac Bone Graft through Anterior Approach for Treatment of Lumbar Spondylodiscitis2636-41742682-378010.21608/ijma.2020.21037.1056https://doaj.org/article/ced9399204e4447cb436063d3918187d2020-04-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_82984_d62d80a4482e3474f37dc9e02870fcc6.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Spondylodiscitis is an inflammation of the vertebral disk space often related to infection. Different treatment modalities were present. However, no full consensus is found about the ideal treatment. Aim of the work: To compare between titanium mesh and autogenous iliac bone graft through anterior approach for treatment of lumbar spondylodiscitis. Patients and Methods: A total of 30 patients with spondylodiscitis were included in the study. They were assigned for surgical intervention. They were allocated into titanium mesh or autogenous iliac bone graft through anterior approach. All underwent full history taking and clinical examination, radiological evaluation and surgical outcome was documented. Results: There was no significant difference between the two studied groups as regard the bony fusion after follow up period and there is no significant difference between the two studied techniques as regard outcome. Favorable outcome was not related to patient gender. But, the favorable outcome was associated with younger age [all patients younger than 40 years had favorable outcome, while 73.7% of those older than 49 years had been improved. Conclusion: Titanium mesh cages were found to be similar to autogenous iliac bone graft for restoring vertebral height when treating single-segment lumbar spondylodiscitis and obtained same clinical efficacy as autogenous iliac bone.Mohamed SelimShehab El khadrawyMohamed HassanAl-Azhar University, Faculty of Medicine (Damietta)articlespondylodiscitistitanium meshcomparativeautogenousiliac bone graftMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 2, Pp 343-350 (2020) |
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spondylodiscitis titanium mesh comparative autogenous iliac bone graft Medicine (General) R5-920 |
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spondylodiscitis titanium mesh comparative autogenous iliac bone graft Medicine (General) R5-920 Mohamed Selim Shehab El khadrawy Mohamed Hassan Comparative Study between Titanium Mesh and Autogenous Iliac Bone Graft through Anterior Approach for Treatment of Lumbar Spondylodiscitis |
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Background: Spondylodiscitis is an inflammation of the vertebral disk space often related to infection. Different treatment modalities were present. However, no full consensus is found about the ideal treatment. Aim of the work: To compare between titanium mesh and autogenous iliac bone graft through anterior approach for treatment of lumbar spondylodiscitis. Patients and Methods: A total of 30 patients with spondylodiscitis were included in the study. They were assigned for surgical intervention. They were allocated into titanium mesh or autogenous iliac bone graft through anterior approach. All underwent full history taking and clinical examination, radiological evaluation and surgical outcome was documented. Results: There was no significant difference between the two studied groups as regard the bony fusion after follow up period and there is no significant difference between the two studied techniques as regard outcome. Favorable outcome was not related to patient gender. But, the favorable outcome was associated with younger age [all patients younger than 40 years had favorable outcome, while 73.7% of those older than 49 years had been improved. Conclusion: Titanium mesh cages were found to be similar to autogenous iliac bone graft for restoring vertebral height when treating single-segment lumbar spondylodiscitis and obtained same clinical efficacy as autogenous iliac bone. |
format |
article |
author |
Mohamed Selim Shehab El khadrawy Mohamed Hassan |
author_facet |
Mohamed Selim Shehab El khadrawy Mohamed Hassan |
author_sort |
Mohamed Selim |
title |
Comparative Study between Titanium Mesh and Autogenous Iliac Bone Graft through Anterior Approach for Treatment of Lumbar Spondylodiscitis |
title_short |
Comparative Study between Titanium Mesh and Autogenous Iliac Bone Graft through Anterior Approach for Treatment of Lumbar Spondylodiscitis |
title_full |
Comparative Study between Titanium Mesh and Autogenous Iliac Bone Graft through Anterior Approach for Treatment of Lumbar Spondylodiscitis |
title_fullStr |
Comparative Study between Titanium Mesh and Autogenous Iliac Bone Graft through Anterior Approach for Treatment of Lumbar Spondylodiscitis |
title_full_unstemmed |
Comparative Study between Titanium Mesh and Autogenous Iliac Bone Graft through Anterior Approach for Treatment of Lumbar Spondylodiscitis |
title_sort |
comparative study between titanium mesh and autogenous iliac bone graft through anterior approach for treatment of lumbar spondylodiscitis |
publisher |
Al-Azhar University, Faculty of Medicine (Damietta) |
publishDate |
2020 |
url |
https://doaj.org/article/ced9399204e4447cb436063d3918187d |
work_keys_str_mv |
AT mohamedselim comparativestudybetweentitaniummeshandautogenousiliacbonegraftthroughanteriorapproachfortreatmentoflumbarspondylodiscitis AT shehabelkhadrawy comparativestudybetweentitaniummeshandautogenousiliacbonegraftthroughanteriorapproachfortreatmentoflumbarspondylodiscitis AT mohamedhassan comparativestudybetweentitaniummeshandautogenousiliacbonegraftthroughanteriorapproachfortreatmentoflumbarspondylodiscitis |
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1718392109817397248 |