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Staphylococcal enterotoxin C as a novel strategy for treating lumbar spondylolysis in adolescents: Description of technique – Lumbar Fusion

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The article discusses a novel minimally invasive therapeutic approach for the treatment of lumbar spondylolysis, a common cause of low back pain in children and adolescents. Traditional surgical treatments have limitations such as large trauma, complex operation, high cost, postoperative biomechanical deterioration, and complications. To overcome these limitations, the researchers propose using a minimally invasive technique of injecting staphylococcal enterotoxin C (SEC) guided by C-arm fluoroscopy. They present the case of a patient with lumbar spondylolysis who showed significant improvement in low back pain symptoms and osseous fusion of the bilateral isthmus at L4 after SEC therapy. This approach offers a potential alternative to traditional surgical management with successful clinical outcomes

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

Lumbar spondylolysis is one of the most common causes of low back pain and primarily affects children and adolescents. Traditional posterior lumbar fixation and interbody fusion surgery has always been the most effective method to treat spondylolysis. However, traditional surgical management has limitations of large trauma, complex operation, high cost, postoperative biomechanical deterioration, and resulting complications. In order to avoid the trauma and complications of surgical treatment,…

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Medicine (Baltimore). 2023 Sep 29;102(39):e35224. doi: 10.1097/MD.0000000000035224.ABSTRACTLumbar spondylolysis is one of the most common causes of low back pain and primarily affects children and adolescents. Traditional posterior lumbar fixation and interbody fusion surgery has always been the most effective method to treat spondylolysis. However, traditional surgical management has limitations of large trauma, complex operation, high,

Medicine (Baltimore). 2023 Sep 29;102(39):e35224. doi: 10.1097/MD.0000000000035224.

ABSTRACT

Lumbar spondylolysis is one of the most common causes of low back pain and primarily affects children and adolescents. Traditional posterior lumbar fixation and interbody fusion surgery has always been the most effective method to treat spondylolysis. However, traditional surgical management has limitations of large trauma, complex operation, high cost, postoperative biomechanical deterioration, and resulting complications. In order to avoid the trauma and complications of surgical treatment, and reduce the cost of treatment. Based on the successful clinical experience of using staphylococcal enterotoxin C (SEC) to treat nonunion after a limb fracture, we identified a minimally invasive method to effectively treat lumbar spondylolysis. A novel minimally invasive therapeutic approach is presented herein of an SEC injection guided by C-arm fluoroscopy to treat lumbar spondylolysis. We describe a novel technique applied in a patient with lumbar spondylolysis, who showed significantly improved low back pain symptoms and a computed tomography scan, including osseous fusion of the bilateral isthmus at L4 after SEC therapy. This is the first reported case description of using an SEC injection to treat lumbar spondylolysis with a successful clinical outcome.

PMID:37773848 | DOI:10.1097/MD.0000000000035224

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Staphylococcal enterotoxin C as a novel strategy for treating lumbar spondylolysis in adolescents: Description of technique

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Medicine (Baltimore). 2023 Sep 29;102(39):e35224. doi: 10.1097/MD.0000000000035224.ABSTRACTLumbar spondylolysis is one of the most common causes of low back pain and primarily affects children and adolescents. Traditional posterior lumbar fixation and interbody fusion surgery has always been the most effective method to treat spondylolysis. However, traditional surgical management has limitations of large trauma, complex operation, high

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