Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 5 Issue 9

Posterior Transpedicular Intercorporeal Impaction Morselized Bone Graft for the Treatment of Pyogenic Thoracolumbar Spondylodiscitis a Prospective Cohort Study

Mohamed Fawzy Khattab1*, Tameem Mohamed Elkhateeb1 and Youssry Elhawary2

1Department of Orthopedics and Spine Surgery, Ain Shams University, Cairo, Egypt
2Professor of Orthopedics and Spine Surgery, Cairo University, Cairo, Egypt

*Corresponding Author: Mohamed Fawzy Khattab, Department of Orthopedics and Spine Surgery, Ain Shams University, Cairo, Egypt.

Received: July 18, 2022; Published: August 12, 2022

Abstract

Study Design: Prospective cohort study.

Objectives: To assess the efficacy of transpedicular intercorporeal impaction morselized bone graft in management of pyogenic thoracolumbar spondylodiscitis.

Methods: Patients were treated from 2013 to 2020. All patients underwent transpedicular anterior column debridement, intercorporeal fusion using morselized bone graft with posterior pedicle screw fixation. Kirkcaldy-Willis criteria and the Visual analogue scale for back pain were used. Neurological state was assessed by recording ASIA scale. Radiological fusion was assessed by the Brantigan and Stefee grading system. The local kyphosis angle was assessed preoperatively, postoperatively and at final follow up. The presence of any complications was reported

Results: 38 patients met our inclusion criteria. Patients mean age 55.26 ± 7.41 SD years and mean follow up 42.12 ± 11.35 SD months. Preoperative VAS for back pain significantly improved. Kirkcaldy-Willis functional outcome were excellent in 26 patients, good in 9 patients and fair in 3 patients. All neurologically affected patients showed improvement of their neurological status. Radiologically intercorporeal bony fusion grade 4 and 5. Preoperative local kyphotic angle significantly improved from mean 22.73° ± 4.85 SD to 4.53 ° ± 2.35 SD postoperatively and 5.75° ± 1.66 SD at final follow up. No recurrence of infection, implant failure nor graft resorption.

Conclusion: Transpedicular debridement and impaction intercorporeal morselized bone graft is simple, safe, and cost-effective technique in treating thoracolumbar pyogenic spondylodiscitis. With good clinical and radiological outcomes.

 

Keywords: Spinal Infection; Impaction Morselized Bone Grafting; Posterior Spinal Approach; Transpedicular Intercorporeal Fusion

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Citation

Citation: Mohamed Fawzy Khattab., et al. “Posterior Transpedicular Intercorporeal Impaction Morselized Bone Graft for the Treatment of Pyogenic Thoracolumbar Spondylodiscitis a Prospective Cohort Study". Acta Scientific Orthopaedics 5.9 (2022): 47-55.

Copyright

Copyright: © 2022 Mohamed Fawzy Khattab., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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