Clinical outcomes of percutaneous suction aspiration and drainage for the treatment of infective spondylodiscitis with paravertebral or epidural abscess

The Spine Journal : Official Journal of the North American Spine Society
Tsunemasa MatsubaraNaoto Shiba

Abstract

Patients with infective spondylodiscitis who failed conservative treatment are generally indicated for open surgery. However, some patients are poor candidates for standard surgery, hence the need to evaluate less invasive approaches. Good outcomes were previously reported for percutaneous suction aspiration and drainage (PSAD) in the treatment of infective spondylodiscitis resistant to conservative therapy. We recently extended the surgical approach of PSAD to allow drainage of paravertebral or epidural abscesses in patients with progressive infective spondylodiscitis. To evaluate the clinical outcomes of PSAD for infective spondylodiscitis with paravertebral or epidural abscess. Retrospective case series. Patients with infective spondylodiscitis and associated epidural or paravertebral abscess treated using PSAD at our institution, between 1998 and 2014. Serum levels of C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), and imaging data obtained via plain radiography, computed tomography, and magnetic resonance imaging were analyzed. Serum measurements were taken preoperatively and at several time points postoperatively. Clinical outcomes were evaluated using the modified MacNab criteria for overall functional mo...Continue Reading

Citations

Aug 14, 2019·The Kurume Medical Journal·Kimiaki SatoUNKNOWN RESEARCH GROUP FOR SPINE AND SPINAL CORD DISORDERS (HONNEKAI)

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