Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/11237
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dc.contributor.authorGonzalvo, Augustoen
dc.contributor.authorAbdulla, Irfanen
dc.contributor.authorRiazi, Arashen
dc.contributor.authorDe La Harpe, Daviden
dc.date.accessioned2015-05-16T00:49:33Z
dc.date.available2015-05-16T00:49:33Z
dc.date.issued2011-04-01en
dc.identifier.citationJournal of Spinal Disorders & Techniques; 24(2): 110-5en
dc.identifier.govdoc21445024en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/11237en
dc.description.abstractRetrospective study.To support single-level posterior debridement and instrumented interbody fusion as a single-stage procedure for spontaneous pyogenic osteomyelitis/discitis.The best surgical technique for patients with bacterial spinal infections is still a matter of debate. Recent publications suggest that titanium implants can be used safely in the infectious sites in combination with debridement and antibiotic therapy.We retrospectively review patients with spontaneous pyogenic osteomyelitis/discitis in whom medical therapy failed, and they consequently underwent posterior decompression and instrumented fusion. Data was collected regarding demographics, clinical presentation, images and laboratory studies, antibiotic treatment, duration of hospitalization, time to achieve radiologic evidence of fusion, postoperative complications, and neurologic function pre- and postoperatively. Quality of life was measured using the EQ5D questionnaire and level of disability with the Oswestry Disability Index.Nine patients, ranging in age from 41 to79 years, with a Frankel score of D in 7 cases and of E in 2 cases, underwent a single-level/single-stage debridement and posterior instrumented fusion with pedicle screws and an interbody and posterolateral autogenous bone graft. Preoperative neurologic deficits improved in all the cases and solid bone fusion was achieved in all 9 patients at 12 months. The mean follow-up period was 67 months. The infection healed after surgery in all the patients and they did not require a second operation to remove the metal implants. Quality of life assessed with the EQ5D questionnaire showed scores ranging between 0.70 and 1. The median Oswestry Disability Index was 15.5%.These findings support that debridement and posterior instrumented fusion can be performed as a single-stage procedure with no increase in the recurrence rate or morbidity. The outcome has been satisfactory in our patients in terms of the rate of fusion and quality of life.en
dc.language.isoenen
dc.subject.otherAdulten
dc.subject.otherAgeden
dc.subject.otherDatabases, Factualen
dc.subject.otherDebridement.instrumentation.methodsen
dc.subject.otherDisability Evaluationen
dc.subject.otherDiscitis.microbiology.surgeryen
dc.subject.otherFemaleen
dc.subject.otherHealth Statusen
dc.subject.otherHumansen
dc.subject.otherMaleen
dc.subject.otherMiddle Ageden
dc.subject.otherOsteomyelitis.microbiology.surgeryen
dc.subject.otherQuality of Lifeen
dc.subject.otherRetrospective Studiesen
dc.subject.otherSpinal Fusion.instrumentation.methodsen
dc.subject.otherTreatment Outcomeen
dc.titleSingle-level/single-stage debridement and posterior instrumented fusion in the treatment of spontaneous pyogenic osteomyelitis/discitis: long-term functional outcome and health-related quality of life.en
dc.typeJournal Articleen
dc.identifier.journaltitleJournal of spinal disorders & techniquesen
dc.identifier.affiliationDepartment of Neurosurgery, Austin Hospital, Melbourne, Australiaen
dc.identifier.doi10.1097/BSD.0b013e3181dd8115en
dc.description.pages110-5en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/21445024en
dc.type.austinJournal Articleen
local.name.researcherGonzalvo, Augusto
item.languageiso639-1en-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.openairetypeJournal Article-
crisitem.author.deptNeurosurgery-
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