ISSN:
1437-2320
Keywords:
Anterior instrumentation
;
CDH
;
CDI
;
Operative therapy
;
Spondylodiscitis
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract In a study the results recorded in 34 surgically treated patients with specific or unspecific spondylodiscitis after dorsoventral one-stage instrumentation with CDI and anterior grafting (group 1) were compared with those obtained in a group of 38 patients treated with anterior CDH instrumentation in combination with anterior grafting (group 2). The mean observation periods were 48.4 (19–82) months in group 1 and 29.0 (8–54) months in group 2. In both groups the infection healed after fusion without a secondary operation. In group 1 the mean values for blood loss, operating time, length of hospital stay and fusion length (3.5 segments) were significant higher than those in group 2; in particular, the fusion length was shorter (1.3 segments) in group 2. Only 8 patients in group 1 were treated with postoperative external support. The mean preoperative segmental angle of 18.2° (group 1) was corrected by a mean of 11.9°, and the reposition loss during follow-up amounted to an average of 2.7°. Group 2 showed a mean preoperative segmental deformity angle of 13.4°, which was corrected by 11.6°, and the loss of reposition was 2.9° on average. Even in florid spondylodiscitis a short-range anterior fusion of the affected spinal segment can be performed with a primarystable implant, avoiding a second operation without an increased risk of infection-related dislocation. In the authors' own experience a secondary dorsal operation can be avoided except in the case segment L-5/S-1, the fast mobilization without external support allows a up-to-date treatment in this severe spinal disease.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF01105775
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