The surgical treatment of pyogenic spondylitis using posterior instrumentation without anterior debridement
The Bone & Joint Journal, 06/08/2012
Fushimi K et al. – Single–stage posterior fusion may be effective in patients with pyogenic spondylitis who have relatively minor bony destruction.
The authors report the clinical outcomes of six patients with pyogenic spondylitis treated effectively with a single–stage posterior fusion without anterior debridement at a mean follow–up of 2.8 years (2 to 5).
Haematological data, including white cell count and level of C–reactive protein, returned to normal in all patients at a mean of 8.2 weeks (7 to 9) after the posterior fusion.
Rigid bony fusion between the infected vertebrae was observed in five patients at a mean of 6.3 months (4.5 to 8) post–operatively, with the remaining patient having partial union.
Severe back pain was immediately reduced following surgery and the activities of daily living showed a marked improvement.
Methicillin–resistant Staphylococcus aureus was detected as the causative organism in four patients.
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