Hybrid Minimally Invasive Technique for Treatment of Thoracolumbar Spondylodiscitis and Vertebral Osteomyelitis

Zhang, Catherine Hao; Zaidman, Nathalie; Russo, Vittorio

doi:10.1016/j.wneu.2020.06.023

Cited by 6 publications

(2 citation statements)

References 37 publications

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“…Additional hybrid techniques, such as percutaneous fixation combined with open decompression and debridement, have been tested for several thoracolumbar spinal pathologies. 49 , 50 , 51 …”

Section: Discussionmentioning

confidence: 99%

Surgical management of thoracolumbar junction fractures: An evidence-based algorithm

Lucifero

Bruno

Luzzi

2023

World Neurosurgery: X

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“…Additional hybrid techniques, such as percutaneous fixation combined with open decompression and debridement, have been tested for several thoracolumbar spinal pathologies. 49 , 50 , 51 …”

Section: Discussionmentioning

confidence: 99%

Surgical management of thoracolumbar junction fractures: An evidence-based algorithm

Lucifero

Bruno

Luzzi

2023

World Neurosurgery: X

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“…However, the high frequency of pseudoarthrosis, the progression of kyphotic deformity, and the development of spinal instability over the long term have dictated the need for the use of non-biological titanium mesh cages filled with auto-fluid for anterior fusion [ 12 , 13 ]. At the same time, the use of multi-support posterior instrumentation has ensured reliable correction of the spine’s sagittal profile and the preservation of the achieved parameters over the long term [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Spectrum of Surgical Site Infection Pathogens in Chronic Infectious Spondylitis Requiring Revision Surgery: A 5-Year Cohort Study

Naumov,

Vishnevsky,

Linkova

et al. 2024

JCM

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Background: Spectrum monitoring of the pathogen in spondylitis patients plays a key role in preventing infectious complications of spinal reconstructions in chronic spondylitis (CS) and in the treatment of surgical site infection (SSI). The aim of this study is to characterize the spectrum of SSI pathogens in CS requiring revision surgery. Methods: The primary cohort encompassed 569 surgical patients with infectious CS. In 99 patients (61 men and 38 women) requiring revision surgical interventions due to SSI, continuous microbiological monitoring of the pathogens was conducted. The average age of the patients was 63 ± 14 years. The vast majority of the patients underwent surgery on a set of multilevel (two or more spinal–motor segments) lesions. Lesions of the lumbar spine were more often noted, and lesions of the thoracic, thoracolumbar, and cervical spine sections were less often noted. This study included all patients operated on within the scope of revision spinal reconstructions in connection with the development of infection of the surgical area over the period from January 2018 to December 2022. Inclusion criteria were etiologically verified spondylitis, age of 18 years or older, and follow-up of 6 months or more. Results: The average rate of revision surgery due to SSI was 17.4%. Germ detection from the material of vertebral localization was noted in 48.3% and pathogen strains were isolated in urine in 60.8%, in decubital ulcers in 23.9%, and in hemoculture in 15.2% of all study patients. Aseptic, deep SSI was detected in 10.1%. Gram-positive, multidrug-resistant, and Gram-negative bacteria with extreme resistance prevailed in the microbiological landscape of late SSI, early, and delayed Gram-positive strains without drug resistance. Conclusions: Infectious etiology of spondylitis is associated with a significantly higher frequency of SSI. In the absence of a positive result from bacteriological examination of the vertebral localization material, it is advisable to conduct blood, decubital ulcer discharge, and urine sampling.

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Fluoroscopy guided transpedicular abscess infusion and drainage in thoracic-lumbar spondylitis with prevertebral abscess

Wang

Chen

Peng

et al. 2023

International Orthopaedics (SICOT)

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Hybrid Minimally Invasive Technique for Treatment of Thoracolumbar Spondylodiscitis and Vertebral Osteomyelitis

Cited by 6 publications

References 37 publications

Surgical management of thoracolumbar junction fractures: An evidence-based algorithm

Surgical management of thoracolumbar junction fractures: An evidence-based algorithm

Spectrum of Surgical Site Infection Pathogens in Chronic Infectious Spondylitis Requiring Revision Surgery: A 5-Year Cohort Study

Fluoroscopy guided transpedicular abscess infusion and drainage in thoracic-lumbar spondylitis with prevertebral abscess

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