External transpedicular spine fixation in severe spondylodiscitis – salvage procedure
Specific and non-specific infections of the spine are rare. Due to their potential for severe instabilities, deformities and the impairment of neurological structures, the treatment is often prolonged and needs an interdisciplinary management. The clinical presentation is uncharacteristic, therefore...
| Main Authors: | , |
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| Format: | Article |
| Language: | deu |
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German Medical Science GMS Publishing House
2013-11-01
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| Series: | GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW |
| Subjects: | |
| Online Access: | http://www.egms.de/static/en/journals/iprs/2013-2/iprs000038.shtml |
| _version_ | 1818188504458330112 |
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| author | Spalteholz, Matthias Gahr, Ralf H. |
| author_facet | Spalteholz, Matthias Gahr, Ralf H. |
| author_sort | Spalteholz, Matthias |
| collection | DOAJ |
| description | Specific and non-specific infections of the spine are rare. Due to their potential for severe instabilities, deformities and the impairment of neurological structures, the treatment is often prolonged and needs an interdisciplinary management. The clinical presentation is uncharacteristic, therefore diagnosis is often delayed. There are no prospective randomized studies for therapy recommendation. The surgical concept includes eradication of the infection and the reliable stabilization of involved segments. This concept is successful in most cases of endogenous vertebral osteomyelitis. The therapy of the exogenous spine infections after macro and micro surgery is more difficult, due to the critical wound situation and the involvement of the posterior parts of the spine. In these cases, infection-associated instability of the anterior part is complicated by critical posterior wound conditions.We present three cases of severe exogenous vertebral infections, where temporary external transpedicular spine fixation was used for salvage procedure, till soft tissue conditions have permitted a definitive internal stabilization. |
| first_indexed | 2024-12-11T23:27:59Z |
| format | Article |
| id | doaj.art-52e0933eb333495aa1c09c6f9c57524f |
| institution | Directory Open Access Journal |
| issn | 2193-8091 |
| language | deu |
| last_indexed | 2024-12-11T23:27:59Z |
| publishDate | 2013-11-01 |
| publisher | German Medical Science GMS Publishing House |
| record_format | Article |
| series | GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW |
| spelling | doaj.art-52e0933eb333495aa1c09c6f9c57524f2022-12-22T00:46:08ZdeuGerman Medical Science GMS Publishing HouseGMS Interdisciplinary Plastic and Reconstructive Surgery DGPW2193-80912013-11-012Doc1810.3205/iprs000038External transpedicular spine fixation in severe spondylodiscitis – salvage procedureSpalteholz, Matthias0Gahr, Ralf H.1Traumazentrum, Klinik für Unfallchirurgie und Orthopädie, Klinikum St. Georg, Leipzig, GermanyTraumazentrum, Klinik für Unfallchirurgie und Orthopädie, Klinikum St. Georg, Leipzig, GermanySpecific and non-specific infections of the spine are rare. Due to their potential for severe instabilities, deformities and the impairment of neurological structures, the treatment is often prolonged and needs an interdisciplinary management. The clinical presentation is uncharacteristic, therefore diagnosis is often delayed. There are no prospective randomized studies for therapy recommendation. The surgical concept includes eradication of the infection and the reliable stabilization of involved segments. This concept is successful in most cases of endogenous vertebral osteomyelitis. The therapy of the exogenous spine infections after macro and micro surgery is more difficult, due to the critical wound situation and the involvement of the posterior parts of the spine. In these cases, infection-associated instability of the anterior part is complicated by critical posterior wound conditions.We present three cases of severe exogenous vertebral infections, where temporary external transpedicular spine fixation was used for salvage procedure, till soft tissue conditions have permitted a definitive internal stabilization.http://www.egms.de/static/en/journals/iprs/2013-2/iprs000038.shtmlspondylodiscitisexogenous vertebral osteomyelitisexogenous spine infectionexternal spine fixation |
| spellingShingle | Spalteholz, Matthias Gahr, Ralf H. External transpedicular spine fixation in severe spondylodiscitis – salvage procedure GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW spondylodiscitis exogenous vertebral osteomyelitis exogenous spine infection external spine fixation |
| title | External transpedicular spine fixation in severe spondylodiscitis – salvage procedure |
| title_full | External transpedicular spine fixation in severe spondylodiscitis – salvage procedure |
| title_fullStr | External transpedicular spine fixation in severe spondylodiscitis – salvage procedure |
| title_full_unstemmed | External transpedicular spine fixation in severe spondylodiscitis – salvage procedure |
| title_short | External transpedicular spine fixation in severe spondylodiscitis – salvage procedure |
| title_sort | external transpedicular spine fixation in severe spondylodiscitis salvage procedure |
| topic | spondylodiscitis exogenous vertebral osteomyelitis exogenous spine infection external spine fixation |
| url | http://www.egms.de/static/en/journals/iprs/2013-2/iprs000038.shtml |
| work_keys_str_mv | AT spalteholzmatthias externaltranspedicularspinefixationinseverespondylodiscitissalvageprocedure AT gahrralfh externaltranspedicularspinefixationinseverespondylodiscitissalvageprocedure |