Posterior Lumbar Interbody Fusion in the Pyogenic Discitis

Park, Weon Wook; Park, Yang Soo; Cheon, Sang Jin; Jung, Ju Young

doi:10.4184/jkss.2001.8.1.39

Cited by 8 publications

(6 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…If debridement without internal fixation is conducted in an anterior approach, long-term bed rest or a body cast, or a surgery via an additional posterior approach are required. If anterior metal fixation is conducted via an anterior approach, it has a risk of recurrence due to the metal present in the lesion [ 6 ]. In addition, the anterior approach may cause complications such as injuries of gastrointestinal or urinary tissues due to neurogenic injury, hernia, and the adhesion of infected perispinal tissues [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…If anterior metal fixation is conducted via an anterior approach, it has a risk of recurrence due to the metal present in the lesion [ 6 ]. In addition, the anterior approach may cause complications such as injuries of gastrointestinal or urinary tissues due to neurogenic injury, hernia, and the adhesion of infected perispinal tissues [ 6 ]. Furthermore, it is difficult to access the lower lumbar inflammation that occurred in L5-S1 via the anterior approach.…”

Section: Discussionmentioning

confidence: 99%

“…Posterior pedicle screw fixation has advantages of early ambulation and early rehabilitation due to rigid fixation, and the partial correction of lumbar lordotic angle loss caused by bony destruction due to inflammation into the normal lordotic angle [ 6 , 16 , 17 , 24 ]. In addition, as pyogenic discitis frequently occurs in elderly patients with decreased immunity, concurrent spinal stenosis frequently occurs.…”

Section: Discussionmentioning

confidence: 99%

“…In particular, if an epidural abscess with concurrent spinal stenosis is present in the posterior area, it can be removed via the posterior approach. Furthermore, rigid internal fixation using a posterior pedicle screw has been believed not to only somewhat recover the normal lordotic angle, but also promote the spontaneous wound healing mechanism and to facilitate early ambulation and rehabilitation [ 6 - 8 ].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Posterior Lumbar Interbody Fusion Using Compressive Bone Graft with Allograft and Autograft in the Pyogenic Discitis

Kim

et al. 2012

Asian Spine J

View full text Add to dashboard Cite

Study DesignThis is a retrospective study.PurposeTo evaluate the advantages and effects of posterior lumbar interbody fusion (PLIF) using allograft and posterior instrumentation in the lumbar pyogenic discitis, which are resistant to antibiotics.Overview of LiteratureTo present preliminary results of PLIF using a compressive bone graft with allograft and pedicle screw fixation in the lumbar pyogenic discitis.MethodsFifteen patients who had lumbar pyogenic discitis were treated by posterior approach from May 2004 to July 2008. The mean follow-up duration was 27.2 ± 18.68 months. The standing radiographs of the lumbar spine and clinical results were compared and analyzed in order to assess the bony union, the changes in the distance between the two vertebral bodies and the changes in the lordotic angle formed between the fused bodies immediately after surgery and at the final follow-up.ResultsFifteen solid unions at an average of 15.2 ± 3.5 weeks after operation. The mean preoperative lordotic angle of the affected segments was 14.3 ± 15.1°, compared to 20.3 ± 12.3° after surgery and 19.8 ± 15.2° at last follow-up. For the functional result according to the Kirkaldy-Willis criteria, the outcome was excellent in 9, good in 5, fair in 1, and there were no poor cases. The average visual analogue scale score was decreased from 7.4 before surgery to 3.4 at 2 weeks postoperative.ConclusionsThe main advantage in the procedure of PLIF using compressive bone graft with allograft and post instrumentation is early ambulation. We believe that this is another good procedure for patients with poor general condition because a further autograft bone harvest is not required.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Posterior Lumbar Interbody Fusion Using Compressive Bone Graft with Allograft and Autograft in the Pyogenic Discitis

Kim

et al. 2012

Asian Spine J

View full text Add to dashboard Cite

show abstract

“…다는 후방 추체간 유합술에서, 전후방 동시 유합술이나 후방 추체간 유합 및 후외방 유합술 같은 전주상 유합 (circumferential fusion)에서, 심부감염의 발생이 높게 나 타나는 결과를 보였고, 이는 광범위한 수술에 따른 연부 변연절제술 시 금속 기기의 이완으로 인해 척추 의 불안정성을 보일 때 등에 국한되어 금속 제거를 해야 하며, 가급적 금속제거술은 피하는 것이 좋다고 한다10,13) . 저자들의 경우에도 1례(67%)에서 황색 포도상구균이 동정되어 유사한 결과를 보였다5,6,12,17,18) .금 속제거술을 시행한 군의 7례 중 6례, 금속제거술을 시행 하지 않은 군의 11례 중 5례에서 methicilline 내성 황색 포도상 구균이 검출되어 금속제거술을 시행한 군에서 상기 균의 동정이 많았으나 통계적으로 유의성을 없었 다.…”

unclassified

The Effect of Demineralized Bone Matrix as a Graft Enhancer in Posterior Lumbar Interbody Fusion Using Cage and Local Bone Chips

Choi¹,

Ahn²,

Lee³

et al. 2008

J Korean Soc Spine Surg

View full text Add to dashboard Cite

-Abstract - Study DDesign: This is a retrospective analysisObjectives: We wanted to analyze the risk factors related to deep infection and removing an implant after thoracic and lumbar spinal arthrodesis.Summary o of l literature r reviews: The relationship between deep infection and implant removal is controversial.Materials a and M Methods: We retrospectively compared the infection group with the non-infection group for the rates of deep infection, the preoperative diagnosis, the number of fused segments, the operative methods, the graft materials, the operating time and the blood loss. Moreover, we classified the deep infection patients into two groups: those who underwent implant removal and those who did not, and we compared the microorganisms that were cultured out of the patients. We also compared the relationship of deep infection with the risk factors, the mean hospital stay and the mean number of operations.Results: There were 18 cases (2.46%) of deep infection. The factors that did not show a significant difference were the preoperative diagnosis, the graft material, the increased number of fused segments, age, gender and BMI. The factors that were significant were the operating time (p=0.001), the amount of blood loss (p<0.000), DM (p=0.021), and PLF (p=0.054). The incidence of implant removal was higher for the cases with deep infection caused by MRSA. We were able to see a significant difference of between the group that had undergone implant removal and the group that had not undergone implant removal.Conclusions: The incidence of deep infection after thoracic and lumbar spinal athrodesis increased as the operating time and blood loss increased, and it was also higher when either PLF or DM were present. Implant removal causes bad clinical results, so physicians should be very cautious when operating on a case of implant removal.

show abstract

Management of Lumbar Pyogenic Spondylitis with Posterior Decompression and Interbody Fusion Using Transpedicular Screws

Cho

Kim

et al. 2010

J Korean Orthop Assoc

View full text Add to dashboard Cite

Posterior Lumbar Interbody Fusion in the Pyogenic Discitis

Cited by 8 publications

References 13 publications

Posterior Lumbar Interbody Fusion Using Compressive Bone Graft with Allograft and Autograft in the Pyogenic Discitis

Posterior Lumbar Interbody Fusion Using Compressive Bone Graft with Allograft and Autograft in the Pyogenic Discitis

The Effect of Demineralized Bone Matrix as a Graft Enhancer in Posterior Lumbar Interbody Fusion Using Cage and Local Bone Chips

Management of Lumbar Pyogenic Spondylitis with Posterior Decompression and Interbody Fusion Using Transpedicular Screws

Contact Info

Product

Resources

About