Surgical Treatment Strategies for Pyogenic Spondylodiscitis of the Thoracolumbar Spine

Scheyerer, Max Joseph; Herren, Christian; Kühne, Christian; Neufang, Jörg; Pieroh, Philipp; Höh, Nicolas H. von der

doi:10.1055/a-1527-7939

Cited by 6 publications

(3 citation statements)

References 50 publications

(168 reference statements)

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“…In this case, due to the poor general health condition of our patient, his Parkinson's disease and neurological symptomatic HS, we recommended a short segment fusion surgery to minimise trauma [16] , [17] . In retrospect, we have to admit, that the patient was exposed to an overall increased trauma due to the necessary second operation.…”

Section: Discussionmentioning

confidence: 97%

Infectious hematogenous lumbar spondylodiscitis caused by Actinotignum schaalii in a 74-year-old man: A case report

Röpke

Chwoika²,

Treber³

et al. 2022

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 97%

Infectious hematogenous lumbar spondylodiscitis caused by Actinotignum schaalii in a 74-year-old man: A case report

Röpke

Chwoika²,

Treber³

et al. 2022

International Journal of Surgery Case Reports

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“…Antibiotics are the main treatment for spinal infection. Surgical treatment should be used for patients with severe illness and no significant improvement (Herren et al, 2017;Scheyerer et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Analysis of risk factors for deep vein thrombosis after spinal infection surgery and construction of a nomogram preoperative prediction model

Zhang

et al. 2023

Front. Cell. Infect. Microbiol.

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ObjectiveTo investigate the differences in postoperative deep venous thrombosis (DVT) between patients with spinal infection and those with non-infected spinal disease; to construct a clinical prediction model using patients’ preoperative clinical information and routine laboratory indicators to predict the likelihood of DVT after surgery.MethodAccording to the inclusion criteria, 314 cases of spinal infection (SINF) and 314 cases of non-infected spinal disease (NSINF) were collected from January 1, 2016 to December 31, 2021 at Xiangya Hospital, Central South University, and the differences between the two groups in terms of postoperative DVT were analyzed by chi-square test. The spinal infection cases were divided into a thrombotic group (DVT) and a non-thrombotic group (NDVT) according to whether they developed DVT after surgery. Pre-operative clinical information and routine laboratory indicators of patients in the DVT and NDVT groups were used to compare the differences between groups for each variable, and variables with predictive significance were screened out by least absolute shrinkage and operator selection (LASSO) regression analysis, and a predictive model and nomogram of postoperative DVT was established using multi-factor logistic regression, with a Hosmer- Lemeshow goodness-of-fit test was used to plot the calibration curve of the model, and the predictive effect of the model was evaluated by the area under the ROC curve (AUC).ResultThe incidence of postoperative DVT in patients with spinal infection was 28%, significantly higher than 16% in the NSINF group, and statistically different from the NSINF group (P < 0.000). Five predictor variables for postoperative DVT in patients with spinal infection were screened by LASSO regression, and plotted as a nomogram. Calibration curves showed that the model was a good fit. The AUC of the predicted model was 0.8457 in the training cohort and 0.7917 in the validation cohort.ConclusionIn this study, a nomogram prediction model was developed for predicting postoperative DVT in patients with spinal infection. The nomogram included five preoperative predictor variables, which would effectively predict the likelihood of DVT after spinal infection and may have greater clinical value for the treatment and prevention of postoperative DVT.

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“…Bei stabilisierenden Operationen mit ventraler Abstützung kann sowohl ein rein dorsales Verfahren (TLIF, PLIF) oder ein kombiniertes dorsoventrales Vorgehen (dorsale Stabilisierung mit OLIF, XLIF, ALIF) gewählt werden (▶ Abb. 3)[15]. Dieses kann zweizeitig erfolgen,…”

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Spondylitis/Spondylodiszitis und ihre Differenzialdiagnosen

Tkatschenko,

Vajkoczy

2023

Orthopädie und Unfallchirurgie up2date

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Bei der Spondylitis handelt es sich um eine primäre Osteomyelitis des Wirbelkörpers, bei der Spondylodiszitis liegt eine vom Bandscheibenfach ausgehende Infektion vor, die sekundär auf den Wirbelkörper übergreift. Die durch Anamnese, klinische Untersuchung, laborchemische und bildgebende Diagnostik erhobenen Befunde erlauben sowohl eine differenzialdiagnostische Einordnung als auch die zielgerichtete konservative oder operative Therapie.

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Surgical Treatment Strategies for Pyogenic Spondylodiscitis of the Thoracolumbar Spine

Cited by 6 publications

References 50 publications

Infectious hematogenous lumbar spondylodiscitis caused by Actinotignum schaalii in a 74-year-old man: A case report

Infectious hematogenous lumbar spondylodiscitis caused by Actinotignum schaalii in a 74-year-old man: A case report

Analysis of risk factors for deep vein thrombosis after spinal infection surgery and construction of a nomogram preoperative prediction model

Spondylitis/Spondylodiszitis und ihre Differenzialdiagnosen

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