Document Detail

Single-stage posterior debridement and single-level instrumented fusion for spontaneous infectious spondylodiscitis of the lumbar spine.
MedLine Citation:
PMID:  22308629     Owner:  NLM     Status:  In-Process    
Spontaneous infectious spondylodiscitis (SIS) is an uncommon condition. The purpose of this retrospective study of 10 adult patients (6 males and 4 females, average age 52 years), all with lumbar SIS and epidural abscess, was to analyze the efficacy of single-stage posterior debridement plus single-level interbody grafting with autologous bone, and transpedicular screw-rod instrumentation. The mean follow-up period was 43 months, with a minimum of 30 months. The back pain was relieved within 3 to 8 days after surgery. Neurologic deficits, present in 5 cases, all improved. Solid fusion was achieved at 6 months in all 10 cases. The mean VAS for pain improved from 7.5 to 1.6, the mean Oswestry Disability Index from 57.8% to 8.1%. The mean physical component of SF-36 (PCS) improved from 32.4% to 54.7%, the mean mental component of SF-36 (MCS) improved from 33.8% to 57.2%. All these changes were significant (p < 0.001). No recurrence of infection was noted. The outcome was quite satisfactory in terms of fusion rate and quality of life.
Liang Zhang; Wei-Hua Cai; Bo Huang; Lin-Wei Chen; Ning Zhang; Bin Ni
Related Documents :
15694799 - Perioperative microembolism is not associated with cognitive outcome three months after...
2631519 - Comparative study of pentoxifylline vs antiaggregants in patients with transient ischae...
9361539 - Intraoperative intravascular volume optimisation and length of hospital stay after repa...
24170999 - Changes in serum levels of bone morphogenic protein 4 and inflammatory cytokines after ...
15883689 - Early invasive treatment (endarterectomy vs. stenting) of moderate-to-severe carotid st...
24799079 - No effect of obesity on limb and component alignment after computer-assisted total knee...
14657509 - The impact of escalating conventional therapy in rheumatoid arthritis patients referred...
7646169 - Medtronic intact porcine bioprosthesis: clinical performance to seven years.
24251019 - Endoscopic vein harvesting: technique, outcomes, concerns & controversies.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta orthopaedica Belgica     Volume:  77     ISSN:  0001-6462     ISO Abbreviation:  Acta Orthop Belg     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2012-02-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985165R     Medline TA:  Acta Orthop Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  816-22     Citation Subset:  IM    
Dept of Orthopaedics, Changzheng Hospital, Second Military Medical University, Shanghai, China.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Clinical and radiographic results after treatment of cervical degenerative disc disease with the bry...
Next Document:  Methotrexate and post operative complications in patients with rheumatoid arthritis undergoing elect...