Pyogenic lumbar spondylodiscitis handled with transforaminal lumbar interbody fusion: security and outcomes.
Int Orthop. 2016 Jun;40(6):1163-70
Authors: Shetty AP, Aiyer SN, Kanna RM, Maheswaran A, Rajasekaran S
PURPOSE: Our purpose was to review the protection and outcomes of posterior instrumentation and transforaminal lumbar interbody fusion (TLIF) for treating pyogenic lumbar spondylodiscitis.
METHODS: Retrospective evaluation was carried out on prospectively collected information of 27 consecutive circumstances of lumbar pyogenic spondylodiscitis handled with posterior instrumentation and TLIF between January 2009 and December 2012. Instances have been analysed for security, radiological and scientific outcomes of transforaminal interbody fusion utilizing bone graft?±?titanium cages. Interbody metallic cages with bone graft have been utilized in 17 circumstances and ten circumstances used solely bone graft. Indications for surgical therapy have been failed conservative administration in 17, neurodeficit in six and vital bony destruction in 4.
RESULTS: There have been no circumstances reporting cage migration, loosening, pseudoarthrosis or recurrence of an infection at a imply follow-up of 30 months. Medical outcomes have been assessed utilizing Kirkaldy-Willis standards, which confirmed 14 glorious, 9 good, three honest and one poor consequence. Imply focal deformity improved with using bone graft?±?interbody cages, and the deformity correction was maintained at last follow-up. Imply pre-operative focal lordosis for the graft group was eight.5° (2-16.5°), which improved to 10.9 °(Three.Three-16°); imply pre-operative focal lordosis within the group handled with cages was 6.7 °(Zero-15°), which improved to 7°(Zero-15°) .
CONCLUSION: TLIFs with cages in sufferers with pyogenic lumbar spondylodiscitis permits for acceptable clearance of an infection, passable deformity correction with low incidence of cage migration, loosening and an infection recurrence.
PMID: 26711446 [PubMed – indexed for MEDLINE]