gms | German Medical Science

54. Jahrestagung der Norddeutschen Orthopädenvereinigung e. V.

Norddeutsche Orthopädenvereinigung

16.06. bis 18.06.2005, Hamburg

Modern strategies in treatment of thorakolumbal spondylodiscitis

Meeting Abstract

  • corresponding author J. Böhme - Klinik für Unfall-, Wiederherstellungs- und Plastische Chirurgie, Universität Leipzig, Leipzig
  • S. Katscher - Leipzig
  • T. Düsing - Leipzig
  • O. Gonschorek - Leipzig
  • C. Josten - Leipzig

Norddeutsche Orthopädenvereinigung. 54. Jahrestagung der Norddeutschen Orthopädenvereinigung e.V.. Hamburg, 16.-18.06.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05novEP52

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/nov2005/05nov132.shtml

Veröffentlicht: 13. Juni 2005

© 2005 Böhme et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Study design

Retrospective clinical and laboratory data analyses were performed on patients with thorakolumbal spondylodiscitis (TS).

Objectives

Patients with TS often present with non specific symptoms leading to a late diagnosis. Therefore fast and precise diagnosing and treatment is crucial to prevent lethal outcomes. Our group has retrospectively revaluated 13 patients with TS treated at our clinic working out differences in today's major treatment strategies concerning outcome.

Methods

From 02-17-2003 till 04-03-2004 13 patients (4 females and 9 males) were treated. The average age was 59 (20-81) years. Three different strategies were preformed. Group 1: Five patients were treated with dorsal stabilisations, additionally they received either transpedicular relief or laminektomia. Group 2: Six patients treated with isolated ventral stabilisation using endoscopic assisted and computer navigated instruments. Group 3: Three patients treated with a combined dorsoventral procedure. All Patients received an antibiotic treatment for about 8 (2 -12) weeks without significant clinical effects. More sever cases of TS were found in group 2 and 3, where the diagnosis was accompanied by empyema of the pleura (n=3), abscesses (n=2) complications after dorsal stabilisation (n=2).

Results

Although all patients were in critical preoperational condition radical surgery was always beneficial to them. Comparing the groups, group 2 has shown a lower CRP elevation after surgery. All preoperational neurological deficits were ascending and disappearing. In contrast to group 1 healing rate in group 2 and 3 was 100% over 80 % in group1.

Conclusions

The ventral approach had the best outcomes concerning the investigated parameters.