Abstract:
:In a study the results recorded in 34 surgically treated patients with specific or unspecific spondylodiscitis after dorsoventral one-stage instrumentation with CDI and anterior grafting (group 1) were compared with those obtained in a group of 38 patients treated with anterior CDH instrumentation in combination with anterior grafting (group 2). The mean observation periods were 48.4 (19-82) months in group 1 and 29.0 (8-54) months in group 2. In both groups the infection healed after fusion without a secondary operation. In group 1 the mean values for blood loss, operating time, length of hospital stay and fusion length (3.5 segments) were significant higher than those in group 2; in particular, the fusion length was shorter (1.3 segments) in group 2. Only 8 patients in group 1 were treated with postoperative external support. The mean preoperative segmental angle of 18.2 degrees (group 1) was corrected by a mean of 11.9 degrees, and the reposition loss during follow-up amounted to an average of 2.7 degrees. Group 2 showed a mean preoperative segmental deformity angle of 13.4 degrees, which was corrected by 11.6 degrees, and the loss of reposition was 2.9 degrees on average. Even in florid spondylodiscitis a short-range anterior fusion of the affected spinal segment can be performed with a primary stable implant, avoiding a second operation without an increased risk of infection-related dislocation. In the authors' own experience a secondary dorsal operation can be avoided except in the case segment L-5/S-1, the fast mobilization without external support allows a up-to-date treatment in this severe spinal disease.
journal_name
Neurosurg Revjournal_title
Neurosurgical reviewauthors
Hopf C,Meurer A,Eysel P,Rompe JDdoi
10.1007/BF01105775keywords:
subject
Has Abstractpub_date
1998-01-01 00:00:00pages
217-25issue
4eissn
0344-5607issn
1437-2320journal_volume
21pub_type
杂志文章abstract::Three patients suffering from hematogenous destructive spondylodiscitis were treated with one-session spondylectomy, bone graft-fusion and halo-device stabilization. A stable osseous fusion was achieved after three months with additional antibiotic therapy. ...
journal_title:Neurosurgical review
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abstract::This study reviewed the surgical management of cirsoid aneurysms of the scalp, which are rarely encountered in the neurosurgical practice, and compares the results with embolization. 21 patients with cirsoid aneurysm underwent surgery. There were 1 female and 20 male patients. Trauma was present in four patients. Sele...
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journal_title:Neurosurgical review
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journal_title:Neurosurgical review
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journal_title:Neurosurgical review
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journal_title:Neurosurgical review
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更新日期:1991-01-01 00:00:00
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journal_title:Neurosurgical review
pub_type: 杂志文章
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