One-Stage Posterior Debridement, Interbody Fusion and Instrumentation in the Treatment of Pyogenic Lumbar Spondylodiscitis (화농성 요추부 척추 감염의 수술적 치료: 동시에 시행한 후방 소파술과 추체간 유합 및 기기 고정술)

나화엽; 이영상; Jun Cheol Choi (최준철); 김우성; Woo Suk Song (송우석); 노현민; 김세준; 김완석

One-Stage Posterior Debridement, Interbody Fusion and Instrumentation in the Treatment of Pyogenic Lumbar Spondylodiscitis

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2010, 17(1), pp.18-25
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

나화엽 ¹, 이영상 ², Jun Cheol Choi ³, 김우성 ³, Woo Suk Song ¹, 노현민 ¹, 김세준 ¹, 김완석 ¹

¹분당제생병원 정형외과
²분당재생병원
³분당제생병원

Accredited

ABSTRACT

Study Design: A retrospective study on the outcomes of surgical treatment for pyogenic lumbar spondylodiscitis. Objectives: To report the clinical outcomes of the surgical treatment of pyogenic lumbar spondylodiscitis using a one stage posterior approach. Summary of Literature Review: There are few reports on the treatment of pyogenic lumbar spondylodiscitis through a one stage posterior approach. Materials and Methods: Between June 1999 and June 2005, this study examined the history of 12 patients with pyogenic lumbar spondylodiscitis treated by simultaneous posterior debridement, autogenous iliac bone graft and pedicle screw fixation. The clinical outcomes were evaluated in terms of the pain level, neurological status, hematological parameters and radiology findings. Results: The clinical symptoms improved in all cases after surgery. There was no case of the infection recurring. The mean time for postoperative antibiotics and hospitalization was 6 weeks and 41.6 days, respectively. Radiological bony fusion was observed at 5.5 months on average. The mean preoperative, immediate postoperative and final follow-up sagittal angles were 4.6, 8.6 and 6.9º . Conclusion: One stage posterior interbody fusion and instrumentation for the treatment of pyogenic lumbar spondylodiscitis can provide radical debridement, bone graft and immediate stability without prohibiting the control of infection. Therefore, it can be used in selected cases.

KEYWORDS

Lumbar spine, Spondylodiscitis, Posterior interbody fusion, Instrumentation

Citation status

* References for papers published after 2023 are currently being built.

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