Unilateral Posterolateral Approach for Spondylodiskitis (SPDTIS)

University Hospital of Patras

Status: Completed

Conditions: Discitis

Treatments: Procedure: Unilateral Posterolateral Approach and Debridement; Other: Titanium cage insertion supplemented by screw fixation

Study type: Interventional

Funder types: Other

Identifiers

NCT03472131

SPONDYLODISKITIS2018

Details and patient eligibility

About

This retrospective study assess the efficacy and safety of a posterolateral unilateral approach for debridement and titanium cage insertion supplemented by contralateral transfascial screw fixation for sick patients suffering from septic thoracolumbosacral spondylodiskitis. Hematogenous pyogenic spondylodiskitis requires surgical intervention in cases of development of neurological signs, spinal instability, progressive spinal deformity and abscess. When operative treatment is indicated, an anterior approach by open thoracotomy or by a thoraco-abdominal approach or combined anterior and posterior approaches are recommended. In cases of severe sick patients anterior approach is associated with high morbidity and mortality.

Full description

Twenty consecutive sick (ASA>III) patients, 14 men and 6 women, aged 64±14 years, suffering from single level septic thoracolumbosacral spondylodiskitis underwent an one-stage less invasively unilateral posterolateral decompression, insertion of titanium cage& pedicle screw fixation plus contralateral transfascial pedicle screw fixation.

Enrollment: 20 patients

Sex: All

Ages: 44 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Single-level thoracic, thoracolumbar, lumbar or lumbosacral spondylodiskitis
• Medical comorbidities were present in all 20 patients. These included diabetes mellitus, chronic renal insufficiency, advanced heart insufficiency, hypertension, cortisone abuse, drug abuse and/or advanced age (>65y).

Exclusion criteria

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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20 participants in 1 patient group

Septic spondylodiscitis

Experimental group

Description:

A unilateral posterolateral approach and debridement with titanium cage insertion supplemented by screw fixation for severe sick patients suffering from septic spondylodiscitis

Treatment:

Procedure: Unilateral Posterolateral Approach and Debridement

Other: Titanium cage insertion supplemented by screw fixation