Outcome of posterior instrumentation with interbody grafting in management of lumbar spondylodiscitis
Keywords:
Lumbar Spondylodiscitis, Interbody Grafting, Bone graftingAbstract
Background: spondylitis is a serious spinal infection that can be effectively managed with conservative treatments in most cases, while severe conditions may necessitate surgical intervention. The choice of surgical approach remains diverse, with ongoing debate about using spinal instrumentation when an infection is active.Bone grafting, particularly using local techniques, plays a vital role in both the stabilization and structural reconstruction of the spine, contributing to improved long-term outcomes in the treatment of spondylodiscitis. Aim: This work reviews the diagnosis, management, and evaluation of posterior instrumentation with bone grafting in spondylodiscitis, focusing on its safety, effectiveness, as well as radiological and clinical results. Patients and methods: This prospective study followed 30 spondylodiscitis patients treated between August 2021 and March 2024, with a minimum 6-month follow-up. It was conducted at Al-Azhar University Hospital and Shebin Elkom Neurosurgery Hospital. Results: A total of thirty patients took part in the study, with a mean age of 50 years. The group consisted of nine females and twenty-one males., with previous spinal procedures and diabetes as common risk factors. Symptoms lasted 2-24 weeks with the most prevalent pathogen being Staphylococcus aureus.,. Surgery, mainly due to treatment failure, included posterior instrumentation and interbody grafting.
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