|
Combination of autograft and allograft bone chips interbody fusion for spondylodiscitis: surgery outcomes
|
Majid Rezvani    , Amirhosein Zohrevand , Parisa Azimi , Soheil Fallahpour , Saeid Saghaei , Taravat Yazdanian , Mohammadjavad Pashnehtalaee |
| Neuroscience Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran , parisa.azimi@gmail.com |
|
|
Abstract: (1118 Views) |
Background: 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.
Methods: 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.
Results: 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.
Conclusion: This modified method can be a safe and effective technique for surgical intervention in patients with spondylodiscitis.
|
|
| Keywords: Spondylodiscitis, Modified interbody fusion, JOABPEQ, ASIA, surgery |
|
|
Full-Text [PDF 203 kb]
(451 Downloads)
|
Type of Study: Original Article |
Subject:
Infectious Diseases
Received: 2022/02/22 | Accepted: 2022/04/3 | Published: 2023/01/21
|
|
|
|
|
|
|
| Send email to the article author |
|
|
|
| Add your comments about this article |
|
|
|
