Preview

Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika)

Advanced search

LATE INFLAMMATORY COMPLICATIONS IN THE TREATMENT OF SPINAL DEFORMITIES WITH TWO-PLATE ENDOCORRECTOR FOR MULTISEGMENTAL FIXATION

https://doi.org/10.14531/ss2007.3.20-25

Abstract

Objectives. To analyze the causes of late inflammatory complications in patients operated on for spinal deformities. Material and Methods. A total of 205 patients of different ages with spine deformities were operated on. Deformity correction was performed through posterior approach with two-plate endocorrector «Medilar» (60 patients) and LSZ (145 patients). Patients were examined by clinical, radiological, histological, and microbiological methods. Results. In 8 patients (13.3 %) from the «Medilar» group late pyogenic complications developed in 3 to 10 months after operation; in the LSZ group similar complications were observed only in 3 patients (2.1 %). Conclusion. Application of LSZ endocorrector made of highly purified Titanium low profile alloy, avoiding soft tissues damage during instrumentation, operation time shortening, and blood loss reduction resulted in a decrease in late inflammatory complication rate from 13.3 % to 2.1 %.

About the Authors

Mukhammad Tablikhanovich Sampiev
Peoples’ Friendship University of Russia, Moscow
Russian Federation


Aleksandr Andreyevich Laka
Peoples’ Friendship University of Russia, Moscow
Russian Federation


Nikolay Vasilyevich Zagorodniy
Peoples’ Friendship University of Russia, Moscow
Russian Federation


Aleksey Borisovich Dubov
Peoples’ Friendship University of Russia, Moscow
Russian Federation


Stepan Petrovich Balashov
Peoples’ Friendship University of Russia, Moscow
Russian Federation


Temir Evgenyevich Ondar
Peoples’ Friendship University of Russia, Moscow
Russian Federation


References

1. Михайловский М.В., Фомичев Н.Г. Хирургия деформаций позвоночника. Новосибирск, 2002.

2. Шубкин В.Н., Гатиатулин Р.Р., Трубников В.И. и др. Лечение сколиоза двухпластинчатым эндокорректором. Красноярск, 1998.

3. Bose В. Delayed infection after instrumented spine surgery: case reports and review of the literature // Spine. 2003. Vol. 3. P. 394–399.

4. Clark C.E., Shufflebarger H.L. Late-developing infection in instrumented idiopathic scoliosis // Spine. 1999. Vol. 24. P. 1909–1912.

5. Dubousset J., Shufflebarger H.L., Wenger D. Late “infection” with CD instrumentation // Orthop. Trans. 1994. Vol. 18. P. 121–128.

6. Hahn F., Zbinden R., Min K. Late implant infections caused by Propionibacterium acnes in scoliosis surgery // Eur. Spine J. 2005. Vol. 14. P. 783–788.

7. Hatch R.S., Sturm P.F., Wellborn C.C. Late complication after single-rod instrumentation // Spine. 1998. Vol. 23. P. 1503–1505.

8. Heggeness M.H., Esses S.I., Errico T., et al. Late infection of spinal instrumentation by hematogenous seeding // Spine. 1993. Vol. 18. P. 492–496.

9. Richards B.R., Emara K.M. Delayed infections after posterior TSRH spinal instrumentation for idiopathic scoliosis: revisited // Spine. 2001. Vol. 26. P. 1990–1996.

10. Richards B.S. Delayed infections following posterior spinal instrumentation for the treatment of idiopathic scoliosis // J. Bone Joint Surg. Am. 1995. Vol. 77. P. 524–529.

11. Robertson P.A., Taylor T.K. Late presentation of infection as a complication of Dwyer anterior spinal instrumentation // J. Spinal Disord. 1993. Vol. 6. P. 256–259.

12. Soultanis K., Mantelos G., Pagiatakis A., et al. Late infection in patients with scoliosis treated with spinal instrumentation // Clin. Orthop. Relat. Res. 2003. N 411. P. 116–123.

13. Thomas K.A., Cook S.D., Harding A.F., et al. Tissue reaction to implant corrosion in 38 internal fixation devices // Orthopedics. 1988. Vol. 11. P. 441–451.

14. Viola R.W., King H.A., Adler S.M., et al. Delayed infection after elective spinal instrumentation and fusion. A retrospective analysis of eight cases // Spine. 1997. Vol. 22. P. 2444–2451.

15. Wimmer C., Gluch H. Aseptic loosening after CD instrumentation in the treatment of scoliosis: a report about eight cases // J. Spinal Disord. 1998. Vol. 11. P. 440–443.


Review

For citations:


Sampiev M.T., Laka A.A., Zagorodniy N.V., Dubov A.B., Balashov S.P., Ondar T.E. LATE INFLAMMATORY COMPLICATIONS IN THE TREATMENT OF SPINAL DEFORMITIES WITH TWO-PLATE ENDOCORRECTOR FOR MULTISEGMENTAL FIXATION. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2007;(3):020-025. (In Russ.) https://doi.org/10.14531/ss2007.3.20-25



Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1810-8997 (Print)
ISSN 2313-1497 (Online)