The use of titanium surgical mesh-bone graft composite in the anterior thoracic or lumbar spine after complete or partial corpectomy

Bhat, Amilal; Lowery, Gary L.; Sei, Akira

doi:10.1007/s005860050178

Cited by 41 publications

(30 citation statements)

References 29 publications

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“…Bhat et al [26] had good short-term results by reconstruction of the anterior column with the MOSSä. Sufficient compression with an additional implant is necessary for a press fit of the MOSSä to obtain a bony integration.…”

Section: Discussionmentioning

confidence: 99%

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Anterior vertebral body replacement with a titanium implant of adjustable height: a prospective clinical study

et al. 2006

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Section: Discussionmentioning

confidence: 99%

“…They are cut into the required size and fitted into the spinal defect. Tightening of the previously inserted posterior internal fixator can provide a ''press fit in situ'', as can additional anterior instrumentation [26].…”

mentioning

confidence: 99%

Anterior vertebral body replacement with a titanium implant of adjustable height: a prospective clinical study

et al. 2006

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“…In another study of 13 patients who underwent titanium mesh cage reconstruction of anterior spinal column for various spinal diseases. Bhat et al [9] described the excellent results of mid-term follow-up of the patients with no pseudoarthroses noted. Hee et al [32] reported on one series of using titanium mesh cages combined with posterior instrumentation in the reconstruction of infected spine.…”

Section: Titanium Mesh Cagementioning

confidence: 96%

“…Available in various diameters, the titanium mesh cage is easily trimmed or tailored to the needs of the surgeons and can provide custom reconstruction of the anterior column defect. The fenestrations in the titanium mesh cage and its circular shape allow for containment of the bone graft so that titanium mesh cage could act as a bony conduit [9,36]. In a series of 31 cases managed with titanium mesh cage for anterior spinal reconstruction, the radiologic evidence of mechanical stability of titanium cages was provided.…”

Section: Titanium Mesh Cagementioning

confidence: 99%

Surgical treatment of pyogenic vertebral osteomyelitis with spinal instrumentation

2006

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Pyogenic vertebral osteomyelitis responds well to conservative treatment at early stage, but more complicated and advanced conditions, including mechanical spinal instability, epidural abscess formation, neurologic deficits, and refractoriness to antibiotic therapy, usually require surgical intervention. The subject of using metallic implants in the setting of infection remains controversial, although more and more surgeons acknowledge that instrumentation can help the body to combat the infection rather than to interfere with it. The combination of radical debridement and instrumentation has lots of merits such as, restoration and maintenance of the sagittal alignment of the spine, stabilization of the spinal column and reduction of bed rest period. This issue must be viewed in the context of the overall and detailed health conditions of the subjecting patient. We think the culprit for the recurrence of infection is not the implants itself, but is the compromised general health condition of the patients. In this review, we focus on surgical treatment of pyogenic vertebral osteomyelitis with special attention to the role of spinal instrumentation in the presence of pyogenic infection.

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“…The usual need for a corpectomy during the operation makes the stable reconstruction of the anterior column of the spine imperative. The use of titanium mesh cages and most recently expandable cages through an anterior approach has revolutionaries this process (Korovessis et al, 2008;Hee et al, 2002;Kuklo et al, 2006;Liljenqvist et al, 2003;Fang et al, 1994;Altman et al, 1996;Bhat et al, 1999;Auguste et al, 2006;Arts and Peul, 2008). In an effort to minimize the morbidity associated with the anterior approach, we report to the best of our knowledge the first case of vertebral osteomyelitis to be treated with an extracavitary approach.…”

Section: Introductionmentioning

confidence: 96%

A Case of Refractory Salmonella Spondylodiscitis in an Immunocompetent Patient Treated Via an Extracavitary Approach, Corpectomy and Placement of Expandable Cage

Bekelis¹

2010

American Journal of Infectious Diseases

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Problem statement: Salmonella spondylodiscitis is a rare condition that is more prevalent in patients with sickle cell disease or immunosuppression. However, it can also be found in immunocompetent patients. It usually responds well to proper antibiotics. However, surgery is rarely indicated when the infection is refractory to antibiotics, the spine is destabilized or there is an epidural component that is compressing the thecal sac and causing neurological deficit. We report the case of a 60 year-old African American woman with borderline diabetes mellitus controlled with diet, who presented with Salmonella osteomyelitis of the thoracic spine that was associated with an epidural abscess. Approach: The patient presented to an outside hospital with diarrhea, fever and chills. This occurred after eating a chicken sandwich. Stool and blood cultures were positive for Salmonella. Initially she was placed on triple antibiotics (ceftriaxone, vancomycin and levofloxacin) and was later switched to levofloxacin alone given that the bacteria were sensitive to this drug. Several weeks later, she presented with severe back pain. Imaging studies showed a significant lytic lesion in her thoracic spine at T11-12 with an epidural component. Given the instability of the lesion and the failure of medical treatment a decision was made for surgical intervention. Results: She underwent an extracavitary approach for partial T11-T12 corpectomies and fusion with instrumentation with continuous administration of the proper antibiotics. The patient was then discharged to an acute patient rehabilitation center. Postoperatively, she was able to ambulate with full strength in her extremitiesand her back pain had resolved. Conclusion/Recommendations: To the best of the authors' knowledge this is the first reported case of Salmonella spondylodiscitis in an immunocompetent patient treated with a corpectomy via an extracavitary approach with the use of an expandable cage and posterior instrumentation.

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The use of titanium surgical mesh-bone graft composite in the anterior thoracic or lumbar spine after complete or partial corpectomy

Cited by 41 publications

References 29 publications

Anterior vertebral body replacement with a titanium implant of adjustable height: a prospective clinical study

Anterior vertebral body replacement with a titanium implant of adjustable height: a prospective clinical study

Surgical treatment of pyogenic vertebral osteomyelitis with spinal instrumentation

A Case of Refractory Salmonella Spondylodiscitis in an Immunocompetent Patient Treated Via an Extracavitary Approach, Corpectomy and Placement of Expandable Cage

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