Single-stage transforaminal decompression, debridement, interbody fusion, and posterior instrumentation for lumbosacral brucellosis.
BMC Surg. 2017 Jul 14;17(1):82
Authors: Abulizi Y, Liang WD, Muheremu A, Maimaiti M, Sheng WB
BACKGROUND: Spinal brucellosis is a much less generally reported infectious spinal pathology. There are few reviews concerning the surgical remedy of spinal brucellosis in present literature. This retrospective research was performed to find out the effectiveness of single-stage transforaminal decompression, debridement, interbody fusion, and posterior instrumentation for lumbosacral spinal brucellosis.
METHODS: From February 2012 to April 2015, 32 consecutive sufferers (19 males and 13 females, imply age 53.7 ± eight.7) with lumbosacral brucellosis handled by transforaminal decompression, debridement, interbody fusion, and posterior instrumentation had been enrolled. Medical information, imaging research, laboratory information had been collected and summarized. Surgical outcomes had been evaluated primarily based on visible analogue scale (VAS), Oswestry Incapacity Index (ODI) and Japanese Orthopaedic Affiliation (JOA) scale. The adjustments in C-reactive protein (CRP) ranges, erythrocyte sedimentation charge (ESR), medical signs and issues had been investigated. Graft fusion was evaluated utilizing Bridwell grading standards.
RESULTS: The imply follow-up interval was 24.9 ± eight.2 months. Again ache and radiating leg ache was relieved considerably in all sufferers after operation. No implant failures had been noticed in any sufferers. Wound an infection was noticed in two sufferers and sinus formation was noticed in a single affected person. Stable bony fusion was achieved in 30 sufferers and the fusion charge was 93.eight%. The degrees of ESR and CRP had been returned to regular by the tip of three months’ follow-up. VAS and ODI scores had been considerably improved (P < zero.05). In accordance with JOA rating, surgical enchancment was wonderful in 22 circumstances (68.eight%), good in 9 circumstances (28.1%), average in 1 case (three.1%) on the final follow-up.
CONCLUSIONS: Single-stage transforaminal decompression, debridement, interbody fusion, and posterior instrumentation is an efficient and secure method for lumbosacral brucellosis.
PMID: 28705257 [PubMed – indexed for MEDLINE]