RESULTS OF SURGICAL TREATMENT OF NONSPECIFIC SPONDYLODISCITIS IN THE CERVICAL SPINE
https://doi.org/10.14531/ss2015.2.51-55
Abstract
Objective. To compare the outcomes of surgical treatment of patients with spondylodiscitis of the cervical spine.
Material and Methods. Results of surgical treatment of non-specific spondylodiscitis in the cervical spine were studied in dynamics in 22 patients with different degrees of neurological disorders; out of them 14 (63.6 %) had sepsis. In the acute phase of the local inflammatory process, the preference was given to necrosectomy of affected vertebrae and intervertebral discs with spinal canal decompression. In case of subacute and chronic course of the process, the simultaneous restoration of support capacity of the operated spinal motion segments was performed by various anterior fusion techniques.
Results. The immediate and long-term outcomes were assessed as good and satisfactory in 20 (90.9 %) out of 22 patients.
Conclusion. A reasonable method of one-stage surgical treatment of spondylodiscitis of the cervical spine is stabilization surgery using anterior fixation systems, which reduces the intensity of vertebral pain in the late period and the time of interbody block formation.
About the Authors
Maksim Yuryevich Goncharov
Sverdlovsk Regional Clinical Hospital No. 1, Ekaterinburg, Russia
Russian Federation
Russian Federation
Evgeny Yuryevich Levchik
Sverdlovsk Regional Clinical Psychoneurological Hospital for War Veterans, Ekaterinburg, Russia
Russian Federation
Russian Federation
References
1. Ардашев И.П., Носков В.П., Ардашева Е.И., Гатин В.Р., Стаценко О.А. Вертебральная инфекция // Медицина в Кузбассе. 2005. № 1. С. 17-21.
2. Ветрилэ С.Т., Колбовский Д.А. Мини-инвазивные методы лечения больных с неспецифическим гематогенным остеомиелитом позвоночника // Хирургия позвоночника - полный спектр. М., 2007. С. 107-109.
3. Дулаев А.К., Надулич К.А., Ястребков Н.М. Хирургические технологии лечения инфекционных спондилитов // 7-й Рос. нац. конгресс. СПб., 2002. С. 200.
4. Кавалерский Г.М., Проценко А.И., Сотиков К.В., Никурадзе В.К., Умаров А., Гордеев Г.Г. Хирургическое лечение гнойного спондилита // Вестн. травматол. и ортопед. им. Н.Н. Приорова. 2006. № 2. С. 37-40.
5. Морозов А.К., Ветрилэ С.Т., Колбовский Д.А., Карпов И.Н. Диагностика неспецифических воспалительных заболеваний позвоночника // Вестн. травматол. и ортопед. им. Н.Н. Приорова. № 2. 2006. С. 32-37.
6. Покровский В.В., Юрин О.Г., Беляева В.В. Клиническая диагностика и лечение ВИЧ-инфекции. М., 2001.
7. Фищенко В.Я., Фищенко Я.В. Классификация гематогенного остеомиелита позвоночника // Новые технологии в военно-полевой хирургии и хирургии повреждений мирного времени: Тез. докл. СПб., 2006. С. 322-323.
8. Bone RC, Sprung CL, Sibbald WJ. Definitions for sepsis and organ failure. Crit Care Med. 1992;20:724-726.
9. Houten JK, Cooper PR. Pyogenic osteomyelitis of the spine. Contemporary Neurosurgery. 2000;22(6):1-7.
10. Korovessis P, Petsinis G, Koureas G, Iliopoulos P, Zacharatos S. One-stage combined surgery with mesh cages for treatment of septic spondylitis. Clin Orthop Relat Res. 2006;444:51-59. doi: 10.1097/01.blo.0000203449.51769.7f.
11. McHenry MC, Easley KA, Locker GA. Vertebral osteomyelitis: long-term outcome for 253 patients from 7 Cleveland-area hospitals. Clin Infect Dis. 2002;34:1342-1350. doi: 10.1086/340102.
12. Ruf M, Stoltze D, Merk HR, Ames M, Harms J. Treatment of vertebral osteomyelitis by radical debridement and stabilization using titanium mesh cages. Spine. 2007;32:E275-E280. doi: 10.1097/01.brs.0000261034.83395.7f.
13. Tay BK, Deckey J, Hu SS. Spinal infections. J Am Acad Orthop Surg. 2002;10:188-197.
14. Yarkony G, Chen D. Rehabilitation of patients with spinal cord injuries. In: Braddom R, ed. Physical Medicine and Rehabilitation. Philadelphia, PA: W.B.Saunders Company, 1996:1149-1179.
Review
For citations:
Goncharov M.Yu., Levchik E.Yu. RESULTS OF SURGICAL TREATMENT OF NONSPECIFIC SPONDYLODISCITIS IN THE CERVICAL SPINE. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2015;12(2):51-55. (In Russ.) https://doi.org/10.14531/ss2015.2.51-55
Email this article 