Abstract
BackgroundSpondylodiscitis is an unusual infectious disease, which usually originates as a pathogenic infection of intervertebral discs and then spreads to neighboring vertebral bodies. The objective of this study is to evaluate percutaneous debridement and drainage using intraoperative CT-Guide in multilevel spondylodiscitis.MethodsFrom January 2002 to May 2017, 23 patients with multilevel spondylodiscitis were treated with minimally invasive debridement and drainage procedures in our department. The clinical manifestations, evolution, and minimally invasive debridement and drainage treatment of this refractory vertebral infection were investigated.ResultsOf the enrolled patients, the operation time ranged from 30 minutes to 124 minutes every level with an average of 48 minutes. Intraoperative hemorrhage was minimal. The postoperative follow-up period ranged from 12 months to 6.5 years with an average of 3.7 years. There was no reactivation of infection in the treated vertebral segment during follow-up, but two patients with fungal spinal infection continued to progress by affecting adjacent segments prior to final resolution. According to the classification system of Macnab, one patient had a good outcome at the final follow-up, and the rest were excellent.ConclusionsMinimally invasive percutaneous debridement and irrigation using intraoperative CT-Guide is an effective minimally invasive method for the treatment of multilevel spondylodiscitis.
Highlights
IntroductionThe objective of this study is to evaluate percutaneous debridement and drainage using intraoperative CT-Guide in multilevel spondylodiscitis
Spondylodiscitis is an unusual infectious disease, which usually originates as a pathogenic infection of intervertebral discs and spreads to neighboring vertebral bodies [1]
The purpose of this study was to evaluate the clinical effect of percutaneous debridement and drainage using intraoperative CT-Guide in the treatment of multilevel spondylodiscitis
Summary
The objective of this study is to evaluate percutaneous debridement and drainage using intraoperative CT-Guide in multilevel spondylodiscitis. Spondylodiscitis is an unusual infectious disease, which usually originates as a pathogenic infection of intervertebral discs and spreads to neighboring vertebral bodies [1]. Open surgery has been advocated in the past [7,8,9,10,11]. Whether the anterior or posterior approach, open surgery faced serious complications like nerve or vessel injuries due to extensive anatomical dissection and destruction of the stable spinal structure [12, 13]. Recent research favors a minimally invasive surgery(MIS) [7, 14, 15]
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