PMID: 8951761Nov 1, 1996Paper

Percutaneous transpedicular management of discitis

Journal of Vascular and Interventional Radiology : JVIR
S AryaE M Walser

Abstract

To present the technique of percutaneous transpedicular biopsy and debridement of discs in diagnosis and management of discitis. Fifteen patients underwent disc biopsy through a transpedicular approach with local anesthesia and fluoroscopic guidance. An attempt was made to debride the disc as much as possible. A surgical vacuum drain was deployed through the transpedicular tract when there was persistent drainage. Fifteen patients underwent percutaneous transpedicular disc biopsy and debridement of disc for suspected discitis. Three patients underwent biopsy only and 12 underwent percutaneous discectomy. Six patients had at least one positive culture. Eight patients who underwent discectomy had immediate improvement of pain or neurologic symptoms, obviating emergency surgical debridement of the disc. Four patients did not improve and underwent surgical debridement and fusion. Transpedicular biopsy of the disc is an effective technique for adequate tissue retrieval and diagnosis of discitis. Adequate debridement in selected patients with antibiotic therapy may be definitive. Epidural extension of discitis and massive vertebral destruction precludes percutaneous treatment.

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Citations

Dec 7, 2006·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·Vishal Nigam, H S Chhabra
Aug 2, 1997·Lancet·K R Thomson
Jun 1, 2007·Journal of Spinal Disorders & Techniques·Chin-Yi ChuoCheng-Yen Chen
Jul 25, 2014·The Spine Journal : Official Journal of the North American Spine Society·Jakrapun PupaiboolElie F Berbari
Mar 23, 2012·Current Medical Research and Opinion·Alberto Di MartinoVincenzo Denaro
Jun 9, 2012·Diagnostic and Interventional Imaging·N SansJ-J Railhac
Apr 24, 2001·Radiologic Clinics of North America·R VarmaA Assaf
Aug 16, 2008·Clinical Orthopaedics and Related Research·Shih-Chieh YangYuan-Kun Tu
Aug 5, 2008·The Journal of Bone and Joint Surgery. American Volume·Ali NourbakhshKim J Garges
Aug 21, 2018·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·William Griffith-JonesHossein Mehdian
Feb 19, 1998·Journal of Vascular and Interventional Radiology : JVIR·W N CrowA Adesokan

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