Cargando…

Treatment of Thoracolumbar Pyogenic Spondylitis with Minimally Invasive Posterior Fixation without Anterior Lesion Debridement or Bone Grafting: A Multicenter Case Study

The usefulness of minimally invasive posterior fixation without debridement and autogenous bone grafting remains unknown. This multicenter case series aimed to determine the clinical outcomes and limitations of this method for thoracolumbar pyogenic spondylitis. Patients with thoracolumbar pyogenic...

Descripción completa

Detalles Bibliográficos
Autores principales: Gamada, Hisanori, Funayama, Toru, Yamaji, Akihiro, Okuwaki, Shun, Asada, Tomoyuki, Izawa, Shigeo, Kumagai, Hiroshi, Fujii, Kengo, Amano, Kuniaki, Shiina, Itsuo, Tatsumura, Masaki, Uesugi, Masafumi, Nakagawa, Tsukasa, Yamazaki, Masashi, Koda, Masao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918103/
https://www.ncbi.nlm.nih.gov/pubmed/36769580
http://dx.doi.org/10.3390/jcm12030932
_version_ 1784886529684930560
author Gamada, Hisanori
Funayama, Toru
Yamaji, Akihiro
Okuwaki, Shun
Asada, Tomoyuki
Izawa, Shigeo
Kumagai, Hiroshi
Fujii, Kengo
Amano, Kuniaki
Shiina, Itsuo
Tatsumura, Masaki
Uesugi, Masafumi
Nakagawa, Tsukasa
Yamazaki, Masashi
Koda, Masao
author_facet Gamada, Hisanori
Funayama, Toru
Yamaji, Akihiro
Okuwaki, Shun
Asada, Tomoyuki
Izawa, Shigeo
Kumagai, Hiroshi
Fujii, Kengo
Amano, Kuniaki
Shiina, Itsuo
Tatsumura, Masaki
Uesugi, Masafumi
Nakagawa, Tsukasa
Yamazaki, Masashi
Koda, Masao
author_sort Gamada, Hisanori
collection PubMed
description The usefulness of minimally invasive posterior fixation without debridement and autogenous bone grafting remains unknown. This multicenter case series aimed to determine the clinical outcomes and limitations of this method for thoracolumbar pyogenic spondylitis. Patients with thoracolumbar pyogenic spondylitis treated with minimally invasive posterior fixation alone were retrospectively evaluated at nine affiliated hospitals since April 2016. The study included 31 patients (23 men and 8 women; mean age, 73.3 years). The clinical course of the patients and requirement of additional anterior surgery constituted the study outcomes. The postoperative numerical rating scale score for lower back pain was significantly smaller than the preoperative score (5.8 vs. 3.6, p = 0.0055). The preoperative local kyphosis angle was 6.7°, which was corrected to 0.1° after surgery and 3.7° at the final follow-up visit. Owing to failed infection control, three patients (9.6%) required additional anterior debridement and autogenous bone grafting. Thus, in this multicenter case series, a large proportion of patients with thoracolumbar pyogenic spondylitis could be treated with minimally invasive posterior fixation alone, thereby indicating it as a treatment option for pyogenic spondylitis.
format Online
Article
Text
id pubmed-9918103
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-99181032023-02-11 Treatment of Thoracolumbar Pyogenic Spondylitis with Minimally Invasive Posterior Fixation without Anterior Lesion Debridement or Bone Grafting: A Multicenter Case Study Gamada, Hisanori Funayama, Toru Yamaji, Akihiro Okuwaki, Shun Asada, Tomoyuki Izawa, Shigeo Kumagai, Hiroshi Fujii, Kengo Amano, Kuniaki Shiina, Itsuo Tatsumura, Masaki Uesugi, Masafumi Nakagawa, Tsukasa Yamazaki, Masashi Koda, Masao J Clin Med Article The usefulness of minimally invasive posterior fixation without debridement and autogenous bone grafting remains unknown. This multicenter case series aimed to determine the clinical outcomes and limitations of this method for thoracolumbar pyogenic spondylitis. Patients with thoracolumbar pyogenic spondylitis treated with minimally invasive posterior fixation alone were retrospectively evaluated at nine affiliated hospitals since April 2016. The study included 31 patients (23 men and 8 women; mean age, 73.3 years). The clinical course of the patients and requirement of additional anterior surgery constituted the study outcomes. The postoperative numerical rating scale score for lower back pain was significantly smaller than the preoperative score (5.8 vs. 3.6, p = 0.0055). The preoperative local kyphosis angle was 6.7°, which was corrected to 0.1° after surgery and 3.7° at the final follow-up visit. Owing to failed infection control, three patients (9.6%) required additional anterior debridement and autogenous bone grafting. Thus, in this multicenter case series, a large proportion of patients with thoracolumbar pyogenic spondylitis could be treated with minimally invasive posterior fixation alone, thereby indicating it as a treatment option for pyogenic spondylitis. MDPI 2023-01-25 /pmc/articles/PMC9918103/ /pubmed/36769580 http://dx.doi.org/10.3390/jcm12030932 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gamada, Hisanori
Funayama, Toru
Yamaji, Akihiro
Okuwaki, Shun
Asada, Tomoyuki
Izawa, Shigeo
Kumagai, Hiroshi
Fujii, Kengo
Amano, Kuniaki
Shiina, Itsuo
Tatsumura, Masaki
Uesugi, Masafumi
Nakagawa, Tsukasa
Yamazaki, Masashi
Koda, Masao
Treatment of Thoracolumbar Pyogenic Spondylitis with Minimally Invasive Posterior Fixation without Anterior Lesion Debridement or Bone Grafting: A Multicenter Case Study
title Treatment of Thoracolumbar Pyogenic Spondylitis with Minimally Invasive Posterior Fixation without Anterior Lesion Debridement or Bone Grafting: A Multicenter Case Study
title_full Treatment of Thoracolumbar Pyogenic Spondylitis with Minimally Invasive Posterior Fixation without Anterior Lesion Debridement or Bone Grafting: A Multicenter Case Study
title_fullStr Treatment of Thoracolumbar Pyogenic Spondylitis with Minimally Invasive Posterior Fixation without Anterior Lesion Debridement or Bone Grafting: A Multicenter Case Study
title_full_unstemmed Treatment of Thoracolumbar Pyogenic Spondylitis with Minimally Invasive Posterior Fixation without Anterior Lesion Debridement or Bone Grafting: A Multicenter Case Study
title_short Treatment of Thoracolumbar Pyogenic Spondylitis with Minimally Invasive Posterior Fixation without Anterior Lesion Debridement or Bone Grafting: A Multicenter Case Study
title_sort treatment of thoracolumbar pyogenic spondylitis with minimally invasive posterior fixation without anterior lesion debridement or bone grafting: a multicenter case study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918103/
https://www.ncbi.nlm.nih.gov/pubmed/36769580
http://dx.doi.org/10.3390/jcm12030932
work_keys_str_mv AT gamadahisanori treatmentofthoracolumbarpyogenicspondylitiswithminimallyinvasiveposteriorfixationwithoutanteriorlesiondebridementorbonegraftingamulticentercasestudy
AT funayamatoru treatmentofthoracolumbarpyogenicspondylitiswithminimallyinvasiveposteriorfixationwithoutanteriorlesiondebridementorbonegraftingamulticentercasestudy
AT yamajiakihiro treatmentofthoracolumbarpyogenicspondylitiswithminimallyinvasiveposteriorfixationwithoutanteriorlesiondebridementorbonegraftingamulticentercasestudy
AT okuwakishun treatmentofthoracolumbarpyogenicspondylitiswithminimallyinvasiveposteriorfixationwithoutanteriorlesiondebridementorbonegraftingamulticentercasestudy
AT asadatomoyuki treatmentofthoracolumbarpyogenicspondylitiswithminimallyinvasiveposteriorfixationwithoutanteriorlesiondebridementorbonegraftingamulticentercasestudy
AT izawashigeo treatmentofthoracolumbarpyogenicspondylitiswithminimallyinvasiveposteriorfixationwithoutanteriorlesiondebridementorbonegraftingamulticentercasestudy
AT kumagaihiroshi treatmentofthoracolumbarpyogenicspondylitiswithminimallyinvasiveposteriorfixationwithoutanteriorlesiondebridementorbonegraftingamulticentercasestudy
AT fujiikengo treatmentofthoracolumbarpyogenicspondylitiswithminimallyinvasiveposteriorfixationwithoutanteriorlesiondebridementorbonegraftingamulticentercasestudy
AT amanokuniaki treatmentofthoracolumbarpyogenicspondylitiswithminimallyinvasiveposteriorfixationwithoutanteriorlesiondebridementorbonegraftingamulticentercasestudy
AT shiinaitsuo treatmentofthoracolumbarpyogenicspondylitiswithminimallyinvasiveposteriorfixationwithoutanteriorlesiondebridementorbonegraftingamulticentercasestudy
AT tatsumuramasaki treatmentofthoracolumbarpyogenicspondylitiswithminimallyinvasiveposteriorfixationwithoutanteriorlesiondebridementorbonegraftingamulticentercasestudy
AT uesugimasafumi treatmentofthoracolumbarpyogenicspondylitiswithminimallyinvasiveposteriorfixationwithoutanteriorlesiondebridementorbonegraftingamulticentercasestudy
AT nakagawatsukasa treatmentofthoracolumbarpyogenicspondylitiswithminimallyinvasiveposteriorfixationwithoutanteriorlesiondebridementorbonegraftingamulticentercasestudy
AT yamazakimasashi treatmentofthoracolumbarpyogenicspondylitiswithminimallyinvasiveposteriorfixationwithoutanteriorlesiondebridementorbonegraftingamulticentercasestudy
AT kodamasao treatmentofthoracolumbarpyogenicspondylitiswithminimallyinvasiveposteriorfixationwithoutanteriorlesiondebridementorbonegraftingamulticentercasestudy