Please use this identifier to cite or link to this item:
http://hdl.handle.net/1942/40126
Title: | Extreme Lateral Interbody Fusion as a Feasible Treatment for Thoracolumbar Spondylodiscitis: A Multicenter Belgian Case-Series | Authors: | RAYMAEKERS, Vincent Roosen, Gert PUT, Eric Vanvolsem, Steven Achahbar, Salah-Eddine Meeuws, Sacha PLAZIER, Mark Wissels, Maarten BAMPS, Sven |
Issue Date: | 2023 | Publisher: | ELSEVIER SCIENCE INC | Source: | World Neurosurgery, 172 , p. E299 -E303 | Abstract: | BACKGROUND: Spondylodiscitis is, after tissue sam-pling, initially managed with intravenous antibiotics. In patients with treatment failure, surgical debridement and stabilization is considered. An anterior or posterior approach has already been reported as a successful sur-gical access, but is associated with a large exposure and a significant morbidity.METHODS: We present a multicenter Belgian case -series on the use of a minimally invasive extreme lateral interbody fusion procedure with add-on percutaneous pedicle screw fixation for patients with a need for surgical debridement and tissue samples or intractable back pain due to spondylodiscitis. Patient characteristics, microbi-ology results, antibiotic treatment, pre-and postoperative Visual Analogue Pain Score (VAS) scores, time to bony consolidation, complications and duration of the hospital stay were collected.RESULTS: Seven patients with one level spondylodisci-tis were included. The mean age 64 years with a mean preoperative VAS score of 8.86 ( +/- 0.90). Postoperative VAS score significantly decreased to 2.57 (L70.3%, P < 0.001). Mean antibiotic treatment duration was 8 weeks. Median duration of the hospital stay was 14 days. Patients were followed for 1 year. Complete bony consolidation was observed in 6 out of 7 patients after 1 year. One patient had a stable pseudarthrosis.CONCLUSIONS: These results indicate that extreme lateral interbody fusion topped off with a percutaneous pedicle screw fixation might be a feasible, safe and valuable choice to surgically treat patients with spondy-lodiscitis with fast and important improvement in VAS. Further prospective research might strengthen the sparsely existing literature of minimally invasive surgery for spon-dylodiscitis to provide the best possible care. | Notes: | Bamps, S (corresponding author), St Trudo Hosp, Dept Neurosurg, St Truiden, Belgium.; Bamps, S (corresponding author), St Franciscus Hosp, Dept Neurosurg, Heusden Zolder, Belgium.; Bamps, S (corresponding author), Studie & Opleidingcentrum Neurochirurg Virga Jesse, Hasselt, Belgium. Sven.bamps@jessazh.be |
Keywords: | Extreme lateral interbody fusion;Optimal;Spondylodiscitis;XLIF | Document URI: | http://hdl.handle.net/1942/40126 | ISSN: | 1878-8750 | e-ISSN: | 1878-8769 | DOI: | 10.1016/j.wneu.2023.01.011 | ISI #: | 000975211300001 | Rights: | 2023 Elsevier Inc. All rights reserved | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
Extreme Lateral Interbody Fusion as a Feasible Treatment for Thoracolumbar Spondylodiscitis_ A Multicenter Belgian Case-Series.pdf Restricted Access | Published version | 233.34 kB | Adobe PDF | View/Open Request a copy |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.