Posterior Only Approach for Lumbar Pyogenic Spondylitis With Short Instrumentation and Prolonged Suction Drainage

@article{Kim2016PosteriorOA,
  title={Posterior Only Approach for Lumbar Pyogenic Spondylitis With Short Instrumentation and Prolonged Suction Drainage},
  author={Yong-Min Kim and Seung-Myung Choi},
  journal={SPINE},
  year={2016},
  volume={41},
  pages={E1022–E1029}
}
Study Design. A single-institution, single-surgeon retrospective review. Objective. To assess the efficacy of posterior only approach with short instrumentation and prolonged suction drainage in managing lumbar pyogenic spondylitis. Summary of Background Data. Several methods of posterior surgical treatment for pyogenic spondylitis have been reported, there have been few reports regarding the efficacy of posterior only approach with short instrumentation including even inflamed segment. Methods… 
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6 Citations

6 Citations

Citation Type

Citation Type

Adaptation and limitation of anterior column reconstruction for pyogenic spondylitis in lower thoracic and lumbar spine.
One-stage posterior debridement, autogenous spinous process bone graft and instrumentation for single segment lumbar pyogenic spondylitis
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Compared with iliac bone graft, the autogenous spinous process bone graft can be less invasive and painful for the single segment lumbar PS.
Early surgery with antibiotic medication was effective and efficient in treating pyogenic spondylodiscitis
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Elevated CRP and/or ESR, with focal hyper-intensity on contrast-enhanced MRI are suggestive of possible PSD, and suggests that thorough debridement should be prioritized over selection of surgical approach.
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[Spondylodiscitis].
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    Zeitschrift fur Orthopadie und Unfallchirurgie
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TLDR
Surgical treatment is required for epidural abscesses that can be diagnosed by means of magnetic resonance imaging and for acute septic courses or if there are new relevant neurological deficits.
Pyogenic Vertebral Osteomyelitis: Clinical Features, Diagnosis, and Treatment
TLDR
Through review of the vast literature on the clinical research of PVO an overview of the clinical characteristics, diagnostic methods, treatment and prognosis is provided.

References

SHOWING 1-10 OF 26 REFERENCES
Surgical Results of Long Posterior Fixation With Short Fusion in the Treatment of Pyogenic Spondylodiscitis of the Thoracic and Lumbar Spine: A Retrospective Study
TLDR
The posterior approach with long segmental fixation and short posterior or posterolateral fusion without debridement of the infected tissue was effective for pyogenic spondylodiscitis of the thoracic and lumbar spine.
The surgical treatment of pyogenic spondylitis using posterior instrumentation without anterior debridement.
TLDR
Single-stage posterior fusion may be effective in patients with pyogenic spondylitis who have relatively minor bony destruction, thus avoiding the morbidity of anterior surgery.
Single-stage epidural catheter lavage with posterior spondylodesis in lumbar pyogenic spondylodiscitis with multilevel epidural abscess formation.
TLDR
The onetime epidural lavage presented in this small patient cohort proved to be an effective surgical adjunct with minimal exposure-related morbidity and it is believed that the possibility of early mobilization and the patient's increased rehabilitation potential reduce the risk of nosocomial complications that often coincide with this multimorbid high-risk group of patients.
Minimally invasive dorsal percutaneous spondylodesis for the treatment of adult pyogenic spondylodiscitis
TLDR
It is concluded that minimally invasive percutaneous fixation is a feasible and effective technique to achieve immediate pain release, avoid long-term immobilization and overcome the disadvantages of a dorsoventral procedure.
Posterior Instrumentation Using Compressive Laminar Hooks and Anterior Interbody Arthrodesis for the Treatment of Tuberculosis of the Lower Lumbar Spine
TLDR
This technique appears to be effective in stabilizing the vertebrae, restoring lordosis, achieving a solid fusion, and improving clinical outcome without sacrificing additional motion segments.
A Single Stage Posterior Approach and Rigid Fixation for Preventing Kyphosis in the Treatment of Spinal Tuberculosis
TLDR
The results show that posterior rigid fixation and chemotherapy provide satisfactory stabilization, reduce surgical morbidity, and prevent development of late kyphosis in selected patients with Pott's disease of the thoracolumbar spine.
Sagittal Alignment After Anterior Debridement and Fusion With or Without Additional Posterior Instrumentation in the Treatment of Pyogenic and Tuberculous Spondylodiscitis
TLDR
In single-level spondylodiscitis with no major substance loss, anterior debridement and bone grafting alone seem to be adequate, especially in the lumbar spine, and an increase in segmental kyphosis was permanently prevented.
Percutaneous Posterior Instrumentation Followed by Direct Lateral Interbody Fusion for Lumbar Infectious Spondylitis
TLDR
Although height and lordosis in the affected segment were restored by surgery, all patients showed loss of the restored lordosis and height at the final follow-up, suggesting subsidence of anteriorly grafted fusion was inevitable despite successful fusion and eradication of the primary lesion.
Single-Stage Treatment of Pyogenic Spinal Infection With Titanium Mesh Cages
TLDR
T titanium mesh cages present a viable option for single-stage anterior surgical debridement and reconstruction of vertebral osteomyelitis, without evidence of chronic infection or rejection.
Combined Anterior and Posterior Surgeries in the Treatment of Spinal Tuberculous Spondylitis
TLDR
A two-stage surgical technique combined with antituberculous chemotherapy is recommended to treat patients with severe vertebral body destruction attributable to tuberculosis because of its high success rate and a low complication rate.
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