Role of Transpedicular Instrumented Fusion in Lumbar Spondylodiscitis
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- Category: Vol. 85, September 2017
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Role of Transpedicular Instrumented Fusion in Lumbar Spondylodiscitis, HESHAM ABO RAHMA
Abstract
Background: Spondylodiscitis is a progressive inflamma-tory process affects either the intervertebral disc, the vertebral body, the posterior vertebral arch either alone or in combina-tion, medical treatment is the standard method to treat such condition, the use of instrumented fusion still has many absolute indications, however the use of metallic implant in presence of infected focus is still controversial.
Aim of the Work: The aim of this study is to evaluate the feasibility, indications and surgical outcome of instrumented fusion in the management of lumbar spondylodiscitis.
Material and Methods: Between January 2007 and De-cember 2011. A total of 27 patients with lumbar spondylodis-citis were diagnosed and surgically treated by the author.
17 patients had previous surgical intervention and 10 patients developed spontaneous spondylodiscitis.
Surgical decompression followed by instrumented fusion was done in all cases either in single stage in 23 patients or in two stages in 3 patients and three stages in 1 patient.
The mean follow-up was 18±6 months.
A total of 21 patients had excellent outcome, 3 patients had good to fair outcome, one patient died secondary to deep venous thrombosis and pulmonary embolism.
Conclusion: Although the use of instrumented lumbar fusion adjuvant to decompression in treatment of lumbar spondylodiscitis has been proven to be effective, however the encouraging outcome encountered in this small series would expand the spectrum to recruit more cases.