Primary reconstruction for spinal infections

Journal of Neurosurgery
D D DietzeR P Jacob

Abstract

Primary reconstruction using bone grafts and instrumentation for spinal infections remains controversial. Between 1991 and 1993, 27 infections of the spinal column were treated at the Department of Neurosurgery of the University of Florida. Of the 27 cases 20 (six cervical, eight thoracic, and six lumbar spine) required surgical debridement and spinal reconstruction to maximize eradication of the infection and maintenance of spinal alignment. All of the cervical and lumbar cases were caused by bacterial infections, and two of eight thoracic cases were caused by tuberculous infections. Spinal arthrodesis was performed in all cases: interbody grafts were used in 18 procedures and posterolateral onlay grafts in 14. Interbody grafts were autologous in 10 cases (six rib and four iliac crest) and allograft in eight (six fibular and two humerus). All of the posterolateral onlay grafts were autologous (three rib and 11 iliac crest). Spinal instrumentation was used in 15 cases: four with Caspar plates and 11 with posterior segmental fixation (five hook/rod constructs and six screw/rod constructs). Seventeen of 20 patients achieved improved clinical status postoperatively and 18 of 20 showed radiographic evidence of bone fusion. Antibiot...Continue Reading

References

Mar 1, 1978·British Journal of Clinical Pharmacology·A A Jeffrey, P Turner
Jan 1, 1978·Journal of Biomechanics·M M PanjabiG Friedlaender
Jul 1, 1991·Journal of Biomedical Materials Research·A BuretJ W Costerton
Mar 1, 1989·Spine·R E McCarthyF L McCullough
May 1, 1986·The Journal of Bone and Joint Surgery. British Volume·D S Bradford, Y H Daher
Jun 1, 1988·Journal of Neurology, Neurosurgery, and Psychiatry·R M RedfernE Dervin
Nov 1, 1988·Reviews of Infectious Diseases·S H Dougherty
Feb 1, 1985·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·P Tothill, G Hooper
Jan 1, 1972·The Journal of Urology·H G Genster, M J Andersen
Jan 1, 1974·The British Journal of Surgery·H B KempN C Shaw
Jan 22, 1970·The New England Journal of Medicine·F A WaldvogelM N Swartz
Sep 1, 1984·Journal of Neurology, Neurosurgery, and Psychiatry·J MilesZ Noori
Nov 1, 1982·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·R J GroszmannE H Storer
Nov 1, 1982·World Journal of Surgery·P O GranbergP E Lins

❮ Previous
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Citations

Aug 10, 2006·Der Unfallchirurg·T M FrangenC Schinkel
Dec 14, 2011·International Orthopaedics·Thamer A Hamdan
Jan 24, 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·Rabi M KhazimYoussef Fares
Jul 13, 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·Ludwig LablerMichael Heinzelmann
Nov 16, 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·Wei-Hua ChenLi-Yang Dai
Jun 26, 2008·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·Li-Yang DaiLei-Sheng Jiang
May 25, 2010·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·Ralf G HempelmannRalph Schön
Apr 2, 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·Simon Matthew GrahamJonathan Sandoe
Mar 3, 1998·Journal of the American College of Surgeons·I A Awad
Nov 1, 2003·The Spine Journal : Official Journal of the North American Spine Society·Larry T KhooRichard G Fessler
Dec 6, 2006·Journal of Spinal Disorders & Techniques·Frank S HodgesSteven M Theiss
Aug 22, 2007·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Amin AminiMeic H Schmidt
Dec 12, 2013·BMC Research Notes·Chang-Hua ChenHua-Cheng Yen
Jan 8, 2005·Neurosurgical Focus·Alfredo Quiñones-HinojosaPhilip R Weinstein
Jan 8, 2005·Neurosurgical Focus·Alfred T Ogden, Michael G Kaiser
Jan 8, 2005·Neurosurgical Focus·Max C LeeDaniel H Kim
Apr 14, 2000·Journal of Neurosurgery·S K RosahlM Samii
Jul 6, 2000·Journal of Neurosurgery·J M SchusterS K Mirza
Jul 21, 2006·Journal of Neurosurgery. Spine·Jyi-Feng Chen, Shih-Tseng Lee
Nov 24, 2006·Journal of Neurosurgery. Spine·Vitaliano Francesco MuziiLucio Palma
Oct 3, 2012·Orthopedics·Panagiotis KorovessisAlexander G Hadjipavlou
Aug 13, 2010·Journal of Infection and Public Health·G S SkafS S Kanj
May 19, 2009·The Spine Journal : Official Journal of the North American Spine Society·Carolina Garcia-VidalPedro Fernandez-Viladrich
Feb 11, 2015·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Ki-Ho ParkIn-Gyu Bae
Mar 9, 2011·Neurologia i neurochirurgia polska·Nitin PetersNavdeep Saini
Apr 18, 2009·Journal of the Chinese Medical Association : JCMA·Wen-Kuei FangKuo-Chang Huang
Mar 9, 2006·Clinical Orthopaedics and Related Research·Matthew E CunninghamFrank P Cammisa
Jul 5, 2006·The Journal of Bone and Joint Surgery. American Volume·Darrel S BrodkeAndrew T Dailey
Jun 23, 2019·Medical Physics·Diksha SharmaAldo Badano
Jun 17, 2015·Journal of Spinal Disorders & Techniques·Barrett S BoodyAlpesh A Patel
Aug 5, 2004·Clinical Orthopaedics and Related Research·Gerard K Jeong, John A Bendo
May 8, 1999·Neurosurgery·A R RezaiP R Cooper
May 13, 2020·Case Reports in Orthopedics·Wenlong WangSijun Wu

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