Caspian Journal of Internal Medicine
1
Caspian J Intern Med
Medical Sciences
http://caspjim.com
1
admin
2008-6164
2008-6172
8
10.22088/cjim
14
8888
13
en
jalali
1401
10
1
gregorian
2023
1
1
14
1
online
1
fulltext
en
Combination of autograft and allograft bone chips interbody fusion for spondylodiscitis: surgery outcomes
Infectious Diseases
Infectious Diseases
Original Article
Original Article
<span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="line-height:14pt"><b><i><span style="color:blue">Background</span></i></b><i><span style="color:blue">:</span></i> Spondylodiscitis is a rare illness and serious complication of the vertebral column. The suitable type of surgery is debatable for these patients. This study describes a series of cases that are treated with modified interbody fusion for the treatment of spondylodiscitis by combining allograft and autograft bone chips with posterior segmental fusion.<span style="font-size:9.0pt"></span></span><br>
<span style="line-height:14pt"><b><i><span style="color:blue">Methods:</span></i></b> This was a retrospective study. The clinical deficit was evaluated with ASIA, VAS, and JOABPEQ scores before and after surgery. Radiological parameters were assessed with local kyphosis angle (degree), segmental height correction, and loss of correction. Post-operative bone union was evaluated as suggested by Tan et al.<span style="font-size:10.0pt"></span></span><br>
<span style="line-height:14pt"><b><i><span style="color:blue">Results:</span></i></b> The mean age of patients (n=34) was 52.3(SD=13.6) years and 67.6% were males. The mean follow-up duration was 25.8 (2.3) months. In the last follow-up, VAS back pain 4.9(0.77), VAS leg pain 4.6(0.78), JOABPEQ low back pain 68.1 (9.3), JOABPEQ lumbar function 81.3 (8.9), and JOABPEQ walking ability 72.8 (8.3) shows a significant difference when compared with preoperative scores. According to ASIA grading, none of the patients deteriorated neurologically (all p<0.0001). The average segmental height correction and loss of correction were observed 7.5(3.7) % and -1.8(3.6) %, respectively, indicating improvements in the patients. A high union fusion rate (82.4%) was observed in the last follow-up.<b><i><span style="color:blue"></span></i></b></span><br>
<span style="line-height:14pt"><b><i><span style="color:blue">Conclusion</span></i></b><i><span style="color:blue">:</span></i> This modified method can be a safe and effective technique for surgical intervention in patients with spondylodiscitis.</span></span></span><br>
<br>
<span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="line-height:14pt"><b><i><span style="color:#0033cc"></span></i></b></span></span></span>
Spondylodiscitis, Modified interbody fusion, JOABPEQ, ASIA, surgery
133
137
http://caspjim.com/browse.php?a_code=A-10-2668-1&slc_lang=en&sid=1
Majid
Rezvani
m_rezvani@mui.ac.ir
100319475328460041011
100319475328460041011
No
Department of neurosurgery, Isfahan University of Medical Sciences, Isfahan, Iran
Amirhosein
Zohrevand
Ahz59dr@gmail.com
100319475328460041012
100319475328460041012
No
Department of neurosurgery, Isfahan University of Medical Sciences, Isfahan, Iran
Parisa
Azimi
parisa.azimi@gmail.com
100319475328460041013
100319475328460041013
Yes
Neuroscience Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Soheil
Fallahpour
dr.sfallahpour@gmail.com
100319475328460041014
100319475328460041014
No
Department of neurosurgery, Isfahan University of Medical Sciences, Isfahan, Iran
Saeid
Saghaei
saeidsaghaeiss@gmail.com
100319475328460041015
100319475328460041015
No
Department of neurosurgery, Isfahan University of Medical Sciences, Isfahan, Iran
Taravat
Yazdanian
taravat.yazdanian@gmail.com
100319475328460041016
100319475328460041016
No
Capital Medical University, Beijing, China
Mohammadjavad
Pashnehtalaee
javad.pashneh@gmail.com
100319475328460041017
100319475328460041017
No
Department of neurosurgery, Isfahan University of Medical Sciences, Isfahan, Iran