An interventional study of Unilateral Posterolateral Approach and Debridement and Titanium cage insertion supplemented by screw fixation in Discitis, sponsored by University Hospital of Patras. Completed. Open to participants aged 44 Years to 80 Years. Per ClinicalTrials.gov, last updated 2018-03-27.
Sponsored by University Hospital of Patras · Not applicable, Interventional, and Treatment
This retrospective study assess the efficacy and safety of a posterolateral unilateral approach for debridement and titanium cage insertion supplemented by contralateral transfascial screw fixation for sick patients suffering from septic thoracolumbosacral spondylodiskitis. Hematogenous pyogenic spondylodiskitis requires surgical intervention in cases of development of neurological signs, spinal instability, progressive spinal deformity and abscess. When operative treatment is indicated, an anterior approach by open thoracotomy or by a thoraco-abdominal approach or combined anterior and posterior approaches are recommended. In cases of severe sick patients anterior approach is associated with high morbidity and mortality.
Twenty consecutive sick (ASA>III) patients, 14 men and 6 women, aged 64±14 years, suffering from single level septic thoracolumbosacral spondylodiskitis underwent an one-stage less invasively unilateral posterolateral decompression, insertion of titanium cage\& pedicle screw fixation plus contralateral transfascial pedicle screw fixation.
Exclusion Criteria:
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A unilateral posterolateral approach and debridement with titanium cage insertion supplemented by screw fixation for severe sick patients suffering from septic spondylodiscitis
Procedure: Unilateral Posterolateral Approach and Debridement · Other: Titanium cage insertion supplemented by screw fixation
The extent of spinal cord injury (SCI) defined by the American Spinal Injury Association (ASIA) Impairment Scale
Grade A Complete lack of motor and sensory function below the level of injury (including the anal area) Grade B Some sensation below the level of the injury (including anal sensation) Grade C Some muscle movement is spared below the level of injury, but 50 percent of the muscles below the level of injury cannot move against gravity. Grade D Most (more than 50 percent) of the muscles that are spared below the level of injury are strong enough to move against gravity. Grade E All neurologic function has returned.
Time frame: 2 years
Survival rate at 2,5 years
Revision surgery or "worst case scenario"
Time frame: 2,5 years
Survival rate at 10 years
Revision surgery or "worst case scenario"
Time frame: 10 years
No study locations are listed for this record.
Plan to share: Undecided
This study is completed, as verified in Mar 2018. You cannot join it, but the record below documents what was studied.
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University Hospital of Patras