gms | German Medical Science

64th Annual Meeting of the German Society of Neurosurgery (DGNC)

German Society of Neurosurgery (DGNC)

26 - 29 May 2013, Düsseldorf

Percutaneous minimal invasive stabilisation of pyogenic thoracal and lumbar spondylodiscitis: Long-term follow-up of 70 patients

Meeting Abstract

  • Ulrich Hubbe - Neurochirurgische Klinik, Universitätsklinikum Freiburg
  • Victoria Ohla - Neurochirurgische Klinik, Universitätsklinikum Freiburg
  • Martin Deininger - Neurochirurgische Klinik, Katharinenhospital Stuttgart
  • Ronen Sircar - Neurochirurgische Klinik, Universitätsklinikum Freiburg
  • Evangelos Kogias - Neurochirurgische Klinik, Universitätsklinikum Freiburg
  • Marie T. Krüger - Neurochirurgische Klinik, Universitätsklinikum Freiburg
  • Christian Scheiwe - Neurochirurgische Klinik, Universitätsklinikum Freiburg
  • Jan-Helge Klingler - Neurochirurgische Klinik, Universitätsklinikum Freiburg

Deutsche Gesellschaft für Neurochirurgie. 64. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC). Düsseldorf, 26.-29.05.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. DocMO.03.09

doi: 10.3205/13dgnc026, urn:nbn:de:0183-13dgnc0269

Published: May 21, 2013

© 2013 Hubbe et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Objective: Most adult patients with pyogenic lumbar or thoracic spondylodiscitis are treated with an external orthosis and antimicrobial therapy for several weeks to months. If surgical intervention is required, a combined anterior and posterior approach for debridement and fusion with autologous bone graft or titanium mesh cage is still regarded as gold standard.

Method: We here report on our experience with the use of a minimally invasive percutaneous dorsal pedicle screw-rod spondylodesis in adult patients with pyogenic lumbar or thoracic spondylodiscitis.

Results: 53 patients with lumbar and 17 with thoracic pyogenic spondylodiscitis with a mean back pain of 9/10 on the visual analog scale (VAS) were treated. Immediately after the operation, we calculated a significant reduction of the back pain on the VAS to 1.7, of leukocyte counts and C-reactive protein levels. After a mean of 61 days of continuous antimicrobial therapy during full mobilization, all patients were pain free, and leukocyte counts as well as C-reactive protein levels were normalized.

Conclusions: We conclude that minimally invasive percutaneous fixation is a feasible and effective technique to achieve immediate pain release, avoid long-term immobilization. A dorsoventral procedure seems not to be necessary in most of the cases.