|
KMID : 0922220080080020100
|
|
Journal of the Korean Musculoskeletal Transplantation Society
2008 Volume.8 No. 2 p.100 ~ p.106
|
|
|
Surgical Treatment of Pyogenic Lumbar Discitis Using Posterior Lumbar Interbody Fusion and Posterior Instrumentation
|
|
Nah Ki-Ho
Cho Hyun-Min
Ha Kee-Yong
Rhyu Kee-Won
|
|
|
Abstract
|
|
|
Purpose: To evaluate the clinical efficacy of posterior lumbar interbody fusion (PLIF) and pedicle screw instrumentation using autogenous iliac bone graft for lumbar infectious discitis.
Materials and methods: Eight cases were analysed. The surgical treatment included posterior decompression and drainage, wide debridement, PLIF using autogenous iliac bone graft, and pedicle screw instrumentation. The mean follow-up period was 22 months. The lordotic angles of operative segments at initial, immediate postoperative, and last follow-up were measured using plain roentgenograms. The serum CRP levels were checked at initial and last follow-up. The datas were analyzed statistically.
Results: The average initial, postoperative, and last lordotic angles were 11.5˚, 14.4˚, 8.0˚, retrospectively. The initial and last serum CRP levels were average 10.8 mg/dl and 0.2 mg/dl, retrospectively. The lordotic angles were different in postoperative-last follow-up (p<0.05). There was neither aggravation of previous infectious status nor clinical complication after surgery.
Conclusion: The eradication of infection and rigid bony union, maintenance of lumbar lordosis were obtained without serious clinical complication throughout PLIF using autogenous iliac bone graft and pedicle screw instrumentation. This procesure may be one of the positive treatment options for lumbar infectious discitis.
|
|
|
KEYWORD
|
|
|
Lumbar infectious discitis, Posterior lumbar interbody fusion, Autogenous iliac bone graft, Posterior instrumentation
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|