当前位置： SCI文献检索 > INTERNATIONAL ORTHOPAEDICS期刊下所有文献 > Percutaneous endoscopic debridement with percutaneous pedicle screw fixation for lumbar pyogenic spondylodiscitis: a preliminary study.

Percutaneous endoscopic debridement with percutaneous pedicle screw fixation for lumbar pyogenic spondylodiscitis: a preliminary study.

Abstract：

PURPOSE:To access the feasibility and efficacy of percutaneous endoscopic debridement (PED) combined with percutaneous pedicle screw fixation (PPSF) in the treatment of lumbar pyogenic spondylodiscitis. METHODS:Forty-five patients diagnosed as pyogenic spondylodiscitis underwent PPSF followed by PED. A drainage catheter was left in place for negative pressure drainage. Adequate systematic antibiotics were administered empirically or based on bacterial culture results. Clinical outcomes were assessed by physical examination, regular serologic testing, visual analog scale (VAS), Oswestry Disability Index (ODI), and imaging studies. RESULTS:The mean operative time was 110.1 ± 21.2 minutes (range 80-165 minutes), with intra-operative blood loss 47.8 ± 21.0 ml (range 20-120 ml). All patients reported relief of back pain, able to sit up, and partially ambulate the next day. Causative pathogens were identified in 32 of 45 biopsy specimens, staphylococcal bacteria being the most prevalent strain. However, there were 13 patients with post-operative complications. During 6-12 months' follow-up, inflammatory markers showed infection controlled. VAS and ODI values were significantly improved. DISCUSSION:Satisfactory clinical and functional outcomes were achieved in our patients post-operatively. It is recommended that PED plus PPSF can be another alternative for spondylodiscitis. CONCLUSION:PED supplementing PPSF offers a valid option in treating spondylodiscitis, as it is minimally invasive, shortens hospital stay, and avoids prolonged bed rest with an optimistic outcome.

journal_name

Int Orthop

journal_title

International orthopaedics

authors

Duan K,Qin Y,Ye J,Zhang W,Hu X,Zhou J,Gao L,Tang Y

doi

10.1007/s00264-019-04456-1

subject

Has Abstract

pub_date

2020-03-01 00:00:00

pages

495-502

issue

3

eissn

0341-2695

issn

1432-5195

pii

10.1007/s00264-019-04456-1

journal_volume

44

pub_type

杂志文章

相关文献

INTERNATIONAL ORTHOPAEDICS文献大全
  • Continuous infusion of insulin-like growth factor-I into the epiphysis of the tibia.

    abstract：:We have developed a method to promote longitudinal bone growth at the level of a specific growth-plate (GP) in young rabbits. Insulin-like growth factor-I (IGF-I) was continuously infused by means of an osmotic pump into the bone marrow cavity of the proximal epiphysis of the tibia. Radiological measurement showed a 2...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-007-0336-7

    authors： Abbaspour A,Takata S,Matsui Y,Katoh S,Takahashi M,Yasui N

    更新日期：2008-06-01 00:00:00

  • Serological markers can lead to false negative diagnoses of periprosthetic infections following total knee arthroplasty.

    abstract：:Periprosthetic infections following total knee arthroplasty (TKA) are diagnostically challenging. We evaluated the sensitivity and specificity of ESR and CRP, false negative rates, whether false negative rates differed between early post-operative and late infections, and the predictive ability of ESR and CRP to diffe...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-010-1175-5

    authors： Johnson AJ,Zywiel MG,Stroh A,Marker DR,Mont MA

    更新日期：2011-11-01 00:00:00

  • Fusion versus Bryan Cervical Disc in two-level cervical disc disease: a prospective, randomised study.

    abstract：:In this prospective study, our aim was to compare the functional results and radiographic outcomes of fusion and Bryan Cervical Disc replacement in the treatment of two-level cervical disc disease. A total of 65 patients with two-level cervical disc disease were randomly assigned to two groups, those operated on with ...

    journal_title：International orthopaedics

    pub_type： 杂志文章,随机对照试验

    doi：10.1007/s00264-008-0655-3

    authors： Cheng L,Nie L,Zhang L,Hou Y

    更新日期：2009-10-01 00:00:00

  • Trabecular metal™ shoulder prosthesis in the treatment of complex proximal humeral fractures.

    abstract：PURPOSE:Shoulder arthroplasty is one of the options for the treatment of complex proximal humeral fractures. The purpose of this study was to assess the clinical and radiographic results of the trabecular metal shoulder prosthesis in the treatment of complex proximal humeral fractures. METHODS:Fifty-one consecutive pa...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-013-2061-8

    authors： Li F,Jiang C

    更新日期：2013-11-01 00:00:00

  • The impact of curettage technique on local control in giant cell tumour of bone.

    abstract：INTRODUCTION:Although consensus has been reached regarding the main aspects of intralesional surgery for giant cell tumour of the bone (GCTB), debates continue about the most effective combination of local adjuvants. The purpose of study was to analyze the previous experience and determine the most effective curettage ...

    journal_title：International orthopaedics

    pub_type： 杂志文章,评审

    doi：10.1007/s00264-020-04860-y

    authors： Machak GN,Snetkov AI

    更新日期：2020-10-22 00:00:00

  • Oblique tibial osteotomy for rotational and varus deformities in children.

    abstract：:A technique of oblique tibial osteotomy is described which is effective in correcting varus and medial rotational deformities in young children. The oblique cut in one plane corrects both elements of the deformity at the same time. We have used the method on both legs in four children and satisfactory results were obt...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/BF00183361

    authors： Eguchi M,Ogata K,Kawamura H,Shiota E,Sugioka Y

    更新日期：1990-01-01 00:00:00

  • Reliability and validity of the Hartofilakidis classification system of congenital hip disease in adults.

    abstract：:The reliability and validity of the Hartofilakidis et al. classification system in adults with congenital hip disease (CHD) were examined. The radiographs of 102 adult patients (158 hips) with CHD were independently assessed by three senior surgeons. Interobserver variability was assessed by examining the agreement be...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-007-0472-0

    authors： Yiannakopoulos CK,Xenakis T,Karachalios T,Babis GC,Hartofilakidis G

    更新日期：2009-04-01 00:00:00

  • The use of postoperative suction drainage in total knee arthroplasty: a systematic review.

    abstract：PURPOSE:The purpose of this systematic review and meta-analysis of randomised controlled trials is to assess the effectiveness of no drainage when compared to drainage in total knee arthroplasty, in terms of recovery of knee flexion, reduction in swelling, length of hospital stay and haemoglobin levels following TKA. ...

    journal_title：International orthopaedics

    pub_type： 杂志文章,meta分析,评审

    doi：10.1007/s00264-014-2455-2

    authors： Quinn M,Bowe A,Galvin R,Dawson P,O'Byrne J

    更新日期：2015-04-01 00:00:00

  • Retention of a well-fixed acetabular component in the setting of acetabular osteolysis.

    abstract：PURPOSE:The treatment strategy for pelvic osteolysis with a well-fixed acetabular component after total hip arthroplasty(THA) involves replacing the acetabular cup liner and femoral head, débriding osteolytic lesions, and grafting. METHODS:We investigated whether retention of a well-fixed acetabular component using th...

    journal_title：International orthopaedics

    pub_type： 信件

    doi：10.1007/s00264-011-1372-x

    authors： Kang P,Yang J,Zhou Z,Shen B,Pei F

    更新日期：2012-05-01 00:00:00

  • The duration of denervation and regeneration in nerve grafting. Quantitative histological assessment in the rat.

    abstract：:The common peroneal nerves of 15 male rats were severed and the rats were divided into four groups: immediate grafting (I group); grafting delayed one month (IM group); grafting delayed for three months (3M group) and 5 healthy rats were used as controls (control group). All the rats were sacrificed 5 months after gra...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/BF00266515

    authors： Miyamoto Y,Sugita T,Higaki T,Ikuta Y,Tsuge K

    更新日期：1985-01-01 00:00:00

  • Pinless navigation in total knee arthroplasty: navigation reduced by the maximum?

    abstract：PURPOSE:Restoring a neutral mechanical axis in total knee arthroplasty (TKA) (within ±3° of varus/valgus) is associated with superior functional outcome and reduced early implant failure. Using conventional alignment jigs results in malalignment in >20 % of cases. In this study, we investigated the reduction of outlier...

    journal_title：International orthopaedics

    pub_type： 杂志文章,随机对照试验

    doi：10.1007/s00264-014-2529-1

    authors： Maderbacher G,Schaumburger J,Keshmiri A,Barthel M,Springorum HR,Craiovan B,Grifka J,Baier C

    更新日期：2015-03-01 00:00:00

  • YouTube provides irrelevant information for the diagnosis and treatment of hip arthritis.

    abstract：PURPOSE:YouTube is increasingly becoming a key source for people to satisfy the need for additional information concerning their medical condition. This study analyses the completeness of accurate information found on YouTube pertaining to hip arthritis. METHODS:The present study analyzed 133 YouTube videos using the ...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-016-3174-7

    authors： Koller U,Waldstein W,Schatz KD,Windhager R

    更新日期：2016-10-01 00:00:00

  • One-stage posterior focus debridement, interbody graft using titanium mesh cages, posterior instrumentation and fusion in the surgical treatment of lumbo-sacral spinal tuberculosis in the aged.

    abstract：PURPOSE:Aged patients represent a high risk group for acquiring spinal tuberculosis, and it still remains a leading cause of kyphosis and paraplegia in developing nations. Aged patients often combined with cardiovascular and respiratory disease and single lung ventilation via anterior approach surgery could result in m...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-016-3161-z

    authors： Wang YX,Zhang HQ,Liao W,Tang MX,Guo CF,Deng A,Wu JH,Liu JY

    更新日期：2016-06-01 00:00:00

  • The degree of cartilage degradation assessed by serum biomarker levels changes after arthroscopic knee synovectomy in rheumatoid arthritis patients.

    abstract：PURPOSE:In order to test the validity of the selected surgical technique as a way to manage persistent synovitis of the knee joint, as well as to slow down the cartilage and bone destruction, we studied the dynamics of biomarkers of inflammatory conditions, and bone and cartilage destruction after total arthroscopic sy...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-017-3634-8

    authors： Lipina M,Makarov M,Makarov S,Novikov A

    更新日期：2017-11-01 00:00:00

  • The AES total ankle arthroplasty analysis of failures and survivorship at ten years.

    abstract：BACKGROUND:AES mobile-bearing total ankle replacement was developed from the Buechel Pappas model. It was withdrawn in 2009, after identification of a higher than expected complication rate. The purpose of the current study was to analyse clinical outcomes, failures and survival of the initial series of 50 AES publishe...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-017-3605-0

    authors： Di Iorio A,Viste A,Fessy MH,Besse JL

    更新日期：2017-12-01 00:00:00

  • Incidence and preventability of adverse events in an orthopaedic unit: a prospective analysis of four thousand, nine hundred and six admissions.

    abstract：PURPOSE:We aimed to identify the incidence and preventability rate of adverse events (AEs) occurring in a specialty orthopaedic unit. METHODS:Four thousand nine hundred and six consecutive in-patient admissions over six months in an orthopaedic unit were prospectively analysed. The total indoor patient capacity was se...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-016-3282-4

    authors： Rajasekaran S,Ravi S,Aiyer SN

    更新日期：2016-11-01 00:00:00

  • Lesions produced by splinters of wood in soft tissues and bone.

    abstract：:Lesions produced by splinters of wood in the soft tissues and bones of the limbs are not uncommon and may be difficult to diagnose. A detailed history and a high index of suspicion are the key to making the correct diagnosis. Investigations are usually inconclusive. Complete excision results in prompt resolution. ...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/BF00183364

    authors： Middha VP,Vaishya R

    更新日期：1990-01-01 00:00:00

  • [Malunion of the distal radius and its treatment. Apropos of 122 radii].

    abstract：:We have reviewed 109 out of 122 operations performed for malunion of the distal radius. An excellent or good result was achieved in 80%, with 3% poor and 7% mediocre. Complications occurred in 12.6%. Accurate assessment of the frontal and sagittal angles of the articular surface of the distal radius was necessary in p...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/BF00182984

    authors： Sennwald G,Fischer W,Stähelin A

    更新日期：1992-01-01 00:00:00

  • [Urinary concentration of cobalt and chromium in patients with a non-cemented total hip prosthesis].

    abstract：:The concentrations of cobalt and chromium have been measured in the urine of 22 patients who had received uncemented hip prostheses made from cobalt, chromium and molybdenum alloy, and in 21 patients who had not received prostheses, using absorption spectrophotometry. The results were statistically analysed using the ...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/BF00454409

    authors： Braun E,Schmitt D,Nabet F,Legras B,Coudane H,Molé D

    更新日期：1986-01-01 00:00:00

  • Polymicrobial infections reduce the cure rate in prosthetic joint infections: outcome analysis with two-stage exchange and follow-up ≥two years.

    abstract：PURPOSE:Prosthetic joint infections (PJI) are a serious and challenging complication after total joint arthroplasty. According to the literature, most PJI are monomicrobial infections caused by gram-positive cocci. The number of polymicrobial PJI might be underrepresented in the literature and only limited data are ava...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-015-2871-y

    authors： Wimmer MD,Friedrich MJ,Randau TM,Ploeger MM,Schmolders J,Strauss AA,Hischebeth GT,Pennekamp PH,Vavken P,Gravius S

    更新日期：2016-07-01 00:00:00

  • Dual mobility hip arthroplasty provides better outcomes compared to hemiarthroplasty for displaced femoral neck fractures: a retrospective comparative clinical study.

    abstract：PURPOSE:Total hip arthroplasty with a dual mobility cup (DMC) is a proposed alternative to the widely performed bipolar hemiarthroplasty (BHA) for treating displaced intracapsular femoral neck fractures (DFNF) in the elderly. However, the comparison between the two modalities has not been extensively conducted thus far...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-018-3767-4

    authors： Kim YT,Yoo JH,Kim MK,Kim S,Hwang J

    更新日期：2018-06-01 00:00:00

  • The value of a special surgical team in preventing complications in the treatment of hip fractures.

    abstract：:The incidence of the major complications of operation have been studied prospectively in 1,722 patients with a proximal femoral fracture treated by either insertion of a hemiarthroplasty, internal fixation with a Dynamic Hip Screw (DHS) or multiple parallel screws. Major complications occurred in 8.0%. A special surgi...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/BF00192477

    authors： Parker MJ,Pryor GA,Myles JW

    更新日期：1994-06-01 00:00:00

  • Combined use of tranexamic acid and rivaroxaban in posterior lumbar interbody fusion safely reduces blood loss and transfusion rates without increasing the risk of thrombosis-a prospective, stratified, randomized, controlled trial.

    abstract：PURPOSE:This prospective, stratified, randomized, single-blind, placebo-controlled multicentre study investigated the safety and effectiveness of reducing blood loss and preventing venous thromboembolism (VTE) during posterior lumbar interbody fusion (PLIF) in patients with stenosis or spondylolisthesis using the combi...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-020-04699-3

    authors： Zhang L,Li Y,Liu D,Xiao X,Guan T,Yue H,Xue H,Zhou H,Jiao G,Wu W,Wang H,Liu H,Meng C,Sun Z,Chen Y

    更新日期：2020-10-01 00:00:00

  • Grosse-Kempf nail combined with a Scan hip prosthesis.

    abstract：:A Grosse-Kempf nail was used with a Scan femoral hip prosthesis to manage a patient who sustained a pathological fracture of the neck of the femur after the previous introduction of the interlocking nail for a similar fracture of the lower end of the femur. ...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/BF00178764

    authors： Aspenberg P

    更新日期：1990-01-01 00:00:00

  • A study of the distribution of load under the normal foot during walking.

    abstract：:A computerised instrumentation system which measures the distribution of vertical load under the foot has been used to measure and record the loading under 148 normal feet during walking. The correlations and variations with load, contact time, sex, age and angle of the toe out are discussed. ...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/BF00266887

    authors： Hutton WC,Dhanendran M

    更新日期：1979-01-01 00:00:00

  • Patient satisfaction after total knee arthroplasty is better in patients with pre-operative complete joint space collapse.

    abstract：AIM OF THE STUDY:To determine if pre-operative radiologic minimal joint space width (mJSW) is related to the outcome of total knee arthroplasty (TKA) (primary hypothesis). Likewise, the aim was to test if pre-operative mJSW is related to prosthesis survival (secondary hypothesis). METHODS:A retrospective comparative a...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-018-4185-3

    authors： Liebensteiner M,Wurm A,Gamper D,Oberaigner W,Dammerer D,Krismer M

    更新日期：2019-08-01 00:00:00

  • Screening test of anticancer drugs on human osteosarcoma heterotransplanted in nude mice.

    abstract：:Following amputation of a limb for osteosarcoma, the tumour was serially transferred to nude mice. The rate of growth was determined and the inhibitory effect of Cyclophosphamide, Adriamycin and 5-Fluorouracil was assessed in three separate experimental animal groups. In the tumour studied. Cyclophosphamide produced t...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/BF00267728

    authors： Munehiro C

    更新日期：1982-01-01 00:00:00

  • The effect of tourniquet use in total knee arthroplasty.

    abstract：:We conducted a prospective, randomised study on primary total knee replacements to evaluate the effects of tourniquet use on total calculated blood loss using Gross formula, post-operative measured blood loss, operating time, need for blood transfusion, post-operative pain, analgesia requirement and knee flexion. Fort...

    journal_title：International orthopaedics

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1007/s00264-002-0360-6

    authors： Vandenbussche E,Duranthon LD,Couturier M,Pidhorz L,Augereau B

    更新日期：2002-01-01 00:00:00

  • What is a "periprosthetic shoulder infection"? A systematic review of two decades of publications.

    abstract：PURPOSE:While as many as 50% of revision shoulder arthroplasties are culture positive, a consistent, clinically useful definition of a "periprosthetic shoulder infection" is lacking. We conducted a systematic review of the published literature with respect to (1) the definition of a "periprosthetic shoulder infection",...

    journal_title：International orthopaedics

    pub_type： 杂志文章,评审

    doi：10.1007/s00264-017-3421-6

    authors： Hsu JE,Somerson JS,Vo KV,Matsen FA 3rd

    更新日期：2017-04-01 00:00:00

  • Tight-fitting radial head prosthesis: does stem size help prevent painful loosening?

    abstract：INTRODUCTION:The most common reason for removal of well-fixed radial head prostheses is painful loosening. We hypothesised that short-stemmed prostheses, used for radial head arthroplasty, are not associated with an increased risk of implant loosening. METHODS:From 2002 to 2014, 65 patients were enrolled in a retrospe...

    journal_title：International orthopaedics

    pub_type： 杂志文章

    doi：10.1007/s00264-017-3644-6

    authors： Laumonerie P,Reina N,Gutierrez C,Delclaux S,Tibbo ME,Bonnevialle N,Mansat P

    更新日期：2018-01-01 00:00:00