2010
DOI: 10.3109/13645700903384450
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Percutaneous endoscopic debridement and drainage in immunocompromised patients with complicated infectious spondylitis

Abstract: Percutaneous endoscopic debridement and drainage (PEDD) has been reported to be an effective procedure in treating early infectious spondylodiscitis. However, it is not clear whether PEDD can be effective in treating cases of complicated infectious spondylitis with significant abscess formation or vertebral destruction. Two women and four men with poor general health and complicated pyogenic spondylitis who underwent PEDD were evaluated. The causative bacteria were identified by PEDD in five of six. All six pa… Show more

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Cited by 32 publications
(23 citation statements)
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“…Recently, numerous minimally invasive percutaneous endoscopic techniques for lumbar disc herniation and even spinal stenosis have been developed, with clinical outcomes comparable to those of conventional open surgery [9,10]. Some studies also reported that PED could be applied in the management of spinal infections [11-13]. Povidone-iodine (betadine) is a widely used antiseptic and disinfectant agent.…”
Section: Introductionmentioning
confidence: 99%
“…Recently, numerous minimally invasive percutaneous endoscopic techniques for lumbar disc herniation and even spinal stenosis have been developed, with clinical outcomes comparable to those of conventional open surgery [9,10]. Some studies also reported that PED could be applied in the management of spinal infections [11-13]. Povidone-iodine (betadine) is a widely used antiseptic and disinfectant agent.…”
Section: Introductionmentioning
confidence: 99%
“…Delay in appropriate treatment for spinal infections can further lead to structural instability, spinal deformity, sepsis, neurologic deficit, and even death. The efficacy of PELD in terms of its diagnostic and therapeutic value has already been reported in several studies [13][14][15]. Most of these studies emphasized the importance of earlystage infection control, which usually leads to satisfactory outcomes.…”
Section: Discussionmentioning
confidence: 95%
“…However, the continuous irrigation restrained the patients to their beds and limited their postoperative ambulation and activities. The diagnostic and therapeutic value of percutaneous endoscopic lavage and drainage (PELD) has already been proved in some recent studies [13][14][15]. However, most of these studies focused on the effect of PELD in early-stage infection.…”
Section: Introductionmentioning
confidence: 99%
“…This technique, which involves a minimal percutaneous approach, has also been used in the treatment of pyogenic spondylodiscitis in patients with serious comorbidities and in cases of complicated infection with significant abscess formation or destruction of vertebrae. [42] …”
Section: Minimally Invasive Percutaneous Endoscopic Technique For Lummentioning
confidence: 99%
“…No surgery-related complications were noted during or after the PEDD procedure. [42] We propose that PEDD is an effective alternative to extensive surgery for complicated infectious spondylodiscitis, particularly in patients with multiple comorbidities.…”
Section: Efficacy Of Pedd For Complicated Infectious Spondylodiscitismentioning
confidence: 99%