Anterior debridement, fusion, and extrafocal stabilization in the treatment of osteomyelitis of the spine |
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Authors: | Krödel A Krüger A Lohscheidt K Pfahler M Refior H J |
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Affiliation: | Orthopaedic Department of Ludwig-Maximilians-University Munich, Klinikum Grosshadern, München, Germany. |
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Abstract: | To simplify and shorten the rehabilitation after anterior debridement and fusion in pyogenic and tuberculous osteomyelitis of the spine, the role of additional extrafocal dorsal transpedicular instrumentation was studied. Thirty-three (10 female, 23 male) patients were followed up in a prospective study and controlled with an average follow-up period of 22.1 months after the operation with clinical and neurologic check-up, blood test, and serial radiographs. Solid bony fusion and healing of the infection was achieved in all patients. Preoperative deformities could be corrected, and there were no life-threatening complications. Dorsal extrafocal stabilization offered the advantage of braceless rehabilitation without adding unpredictable risks. |
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