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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...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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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 |
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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 |
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