Clinical and radiological outcome of surgery for pyogenic and tuberculous spondylitis: comparisons of surgical techniques and disease types

Journal of Neurosurgery. Spine
Yoshiyuki OkadaMasatoshi Sumi

Abstract

Current surgical techniques for patients with pyogenic spondylitis (PS) and tuberculous spondylitis (TS) are as follows: anterior debridement/decompression and fusion with bone autografts (A); anterior debridement/decompression and fusion, followed by simultaneous or sequential posterior fusion with instrumentation (AP); posterior fusion with instrumentation, followed by simultaneous or sequential anterior debridement/decompression and fusion (PA); and posterior decompression and fusion with bone autografts (P). In the present study the authors compared, between disease types and between surgical techniques, the clinical and radiological outcomes of surgery for these patients. Fifty-two patients were involved in the study, comprising 25 with PS and 27 with TS, with a mean age of 63.3 +/- 13.3 years. The affected sites included cervical vertebrae in 6 patients, thoracic in 16, thoracolumbar in 14, and lumbar in 16. Surgical techniques A, AP, and PA were each performed in 15 patients (designated Groups A, AP, and PA), and technique P was performed in 7 patients (designated Group P). Clinical and radiological outcomes were evaluated between disease types and surgical techniques. Advancement on the Frankel scale between preoperativ...Continue Reading

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Citations

Dec 19, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Kestutis ValanciusCody Bünger
Jun 13, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Rui M Duarte, Alexander R Vaccaro
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Jan 30, 2014·Clinical Orthopaedics and Related Research·Nitin Garg, Renuka Vohra
Oct 15, 2013·The Spine Journal : Official Journal of the North American Spine Society·Weidong JinGuangqi Geng
Feb 16, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Chien-Shun WangChien-Lin Liu
Jan 1, 2013·Asian Spine Journal·Mohammad R RasouliVafa Rahimi-Movaghar
Jul 30, 2019·Asian Spine Journal·Sombat KunakornsawatPiyabuth Kittithamvongs
Jun 9, 2016·The American Journal of Case Reports·Azra OsmanagicInger Marie Jensen Hansen
Jul 15, 2017·Korean Journal of Spine·Ji-Woong KwonTae-Ahn Jahng
Aug 2, 2020·Neurosurgical Focus·Christoph BettagBawarjan Schatlo

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Methods Mentioned

BETA
biopsy
dissection

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