Treatment of Thoracolumbar Pyogenic Spondylitis with Minimally Invasive Posterior Fixation without Anterior Lesion Debridement or Bone Grafting: A Multicenter Case Study
The usefulness of minimally invasive posterior fixation without debridement and autogenous bone grafting remains unknown. This multicenter case series aimed to determine the clinical outcomes and limitations of this method for thoracolumbar pyogenic spondylitis. Patients with thoracolumbar pyogenic...
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| Format: | Article |
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MDPI AG
2023-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/3/932 |
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| author | Hisanori Gamada Toru Funayama Akihiro Yamaji Shun Okuwaki Tomoyuki Asada Shigeo Izawa Hiroshi Kumagai Kengo Fujii Kuniaki Amano Itsuo Shiina Masaki Tatsumura Masafumi Uesugi Tsukasa Nakagawa Masashi Yamazaki Masao Koda |
| author_facet | Hisanori Gamada Toru Funayama Akihiro Yamaji Shun Okuwaki Tomoyuki Asada Shigeo Izawa Hiroshi Kumagai Kengo Fujii Kuniaki Amano Itsuo Shiina Masaki Tatsumura Masafumi Uesugi Tsukasa Nakagawa Masashi Yamazaki Masao Koda |
| author_sort | Hisanori Gamada |
| collection | DOAJ |
| description | The usefulness of minimally invasive posterior fixation without debridement and autogenous bone grafting remains unknown. This multicenter case series aimed to determine the clinical outcomes and limitations of this method for thoracolumbar pyogenic spondylitis. Patients with thoracolumbar pyogenic spondylitis treated with minimally invasive posterior fixation alone were retrospectively evaluated at nine affiliated hospitals since April 2016. The study included 31 patients (23 men and 8 women; mean age, 73.3 years). The clinical course of the patients and requirement of additional anterior surgery constituted the study outcomes. The postoperative numerical rating scale score for lower back pain was significantly smaller than the preoperative score (5.8 vs. 3.6, <i>p</i> = 0.0055). The preoperative local kyphosis angle was 6.7°, which was corrected to 0.1° after surgery and 3.7° at the final follow-up visit. Owing to failed infection control, three patients (9.6%) required additional anterior debridement and autogenous bone grafting. Thus, in this multicenter case series, a large proportion of patients with thoracolumbar pyogenic spondylitis could be treated with minimally invasive posterior fixation alone, thereby indicating it as a treatment option for pyogenic spondylitis. |
| first_indexed | 2024-03-11T09:38:56Z |
| format | Article |
| id | doaj.art-663b6897ef4c4a118cd9547a93767ac9 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T09:38:56Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-663b6897ef4c4a118cd9547a93767ac92023-11-16T17:09:17ZengMDPI AGJournal of Clinical Medicine2077-03832023-01-0112393210.3390/jcm12030932Treatment of Thoracolumbar Pyogenic Spondylitis with Minimally Invasive Posterior Fixation without Anterior Lesion Debridement or Bone Grafting: A Multicenter Case StudyHisanori Gamada0Toru Funayama1Akihiro Yamaji2Shun Okuwaki3Tomoyuki Asada4Shigeo Izawa5Hiroshi Kumagai6Kengo Fujii7Kuniaki Amano8Itsuo Shiina9Masaki Tatsumura10Masafumi Uesugi11Tsukasa Nakagawa12Masashi Yamazaki13Masao Koda14Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8575, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8575, JapanDepartment of Orthopaedic Surgery, Ichihara Hospital, 3691 Osone, Tsukuba 300-3253, JapanDepartment of Orthopaedic Surgery, Kenpoku Medical Center, Takahagi Kyodo Hospital, 1006-9 Kamiteduna-Agehocho, Takahagi 318-0004, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8575, JapanDepartment of Orthopaedic Surgery, Tsukuba Central Hospital, 1589-3 Kashiwada-Cho, Ushiku 300-1211, JapanDepartment of Orthopaedic Surgery, Ichihara Hospital, 3691 Osone, Tsukuba 300-3253, JapanDepartment of Orthopaedic Surgery, Showa General Hospital, 8-1-1 Hanakonagei, Kodaira 187-0002, JapanDepartment of Orthopaedic Surgery, Tsukuba Central Hospital, 1589-3 Kashiwada-Cho, Ushiku 300-1211, JapanDepartment of Orthopaedic Surgery, Moriya Daiichi Hospital, 1-17 Matsumaedai, Moriya 302-0102, JapanDepartment of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, 3-2-7 Miyamachi, Mito 310-0015, JapanDepartment of Orthopaedic Surgery, Ibaraki Seinan Medical Center Hospital, 2190 Sashima, Sakai 306-0433, JapanDepartment of Orthopaedic Surgery, Ibaraki Western Medical Center, 555 Otsuka, Chikusei 308-0813, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8575, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8575, JapanThe usefulness of minimally invasive posterior fixation without debridement and autogenous bone grafting remains unknown. This multicenter case series aimed to determine the clinical outcomes and limitations of this method for thoracolumbar pyogenic spondylitis. Patients with thoracolumbar pyogenic spondylitis treated with minimally invasive posterior fixation alone were retrospectively evaluated at nine affiliated hospitals since April 2016. The study included 31 patients (23 men and 8 women; mean age, 73.3 years). The clinical course of the patients and requirement of additional anterior surgery constituted the study outcomes. The postoperative numerical rating scale score for lower back pain was significantly smaller than the preoperative score (5.8 vs. 3.6, <i>p</i> = 0.0055). The preoperative local kyphosis angle was 6.7°, which was corrected to 0.1° after surgery and 3.7° at the final follow-up visit. Owing to failed infection control, three patients (9.6%) required additional anterior debridement and autogenous bone grafting. Thus, in this multicenter case series, a large proportion of patients with thoracolumbar pyogenic spondylitis could be treated with minimally invasive posterior fixation alone, thereby indicating it as a treatment option for pyogenic spondylitis.https://www.mdpi.com/2077-0383/12/3/932pyogenic spondylitisinstrumentationminimally invasive spine stabilizationposterior fixation |
| spellingShingle | Hisanori Gamada Toru Funayama Akihiro Yamaji Shun Okuwaki Tomoyuki Asada Shigeo Izawa Hiroshi Kumagai Kengo Fujii Kuniaki Amano Itsuo Shiina Masaki Tatsumura Masafumi Uesugi Tsukasa Nakagawa Masashi Yamazaki Masao Koda Treatment of Thoracolumbar Pyogenic Spondylitis with Minimally Invasive Posterior Fixation without Anterior Lesion Debridement or Bone Grafting: A Multicenter Case Study Journal of Clinical Medicine pyogenic spondylitis instrumentation minimally invasive spine stabilization posterior fixation |
| title | Treatment of Thoracolumbar Pyogenic Spondylitis with Minimally Invasive Posterior Fixation without Anterior Lesion Debridement or Bone Grafting: A Multicenter Case Study |
| title_full | Treatment of Thoracolumbar Pyogenic Spondylitis with Minimally Invasive Posterior Fixation without Anterior Lesion Debridement or Bone Grafting: A Multicenter Case Study |
| title_fullStr | Treatment of Thoracolumbar Pyogenic Spondylitis with Minimally Invasive Posterior Fixation without Anterior Lesion Debridement or Bone Grafting: A Multicenter Case Study |
| title_full_unstemmed | Treatment of Thoracolumbar Pyogenic Spondylitis with Minimally Invasive Posterior Fixation without Anterior Lesion Debridement or Bone Grafting: A Multicenter Case Study |
| title_short | Treatment of Thoracolumbar Pyogenic Spondylitis with Minimally Invasive Posterior Fixation without Anterior Lesion Debridement or Bone Grafting: A Multicenter Case Study |
| title_sort | treatment of thoracolumbar pyogenic spondylitis with minimally invasive posterior fixation without anterior lesion debridement or bone grafting a multicenter case study |
| topic | pyogenic spondylitis instrumentation minimally invasive spine stabilization posterior fixation |
| url | https://www.mdpi.com/2077-0383/12/3/932 |
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