NCT03472131

Unilateral Posterolateral Approach for Spondylodiskitis

Unilateral Posterolateral Approach for Disc Debridement and Titanium Cage Insertion Supplemented by Contralateral Transfascial Screw Fixation for Sick Patients Suffering From Septic Thoracolumbosacral Spondylodiscitis

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 20 (actual)
• Sponsor: University Hospital of Patras · Academic / Other
• Sex: All
• Age: 44 Years – 80 Years
• Healthy volunteers: Not accepted

Summary

This retrospective study assess the efficacy and safety of a posterolateral unilateral approach for debridement and titanium cage insertion supplemented by contralateral transfascial screw fixation for sick patients suffering from septic thoracolumbosacral spondylodiskitis. Hematogenous pyogenic spondylodiskitis requires surgical intervention in cases of development of neurological signs, spinal instability, progressive spinal deformity and abscess. When operative treatment is indicated, an anterior approach by open thoracotomy or by a thoraco-abdominal approach or combined anterior and posterior approaches are recommended. In cases of severe sick patients anterior approach is associated with high morbidity and mortality.

Detailed description

Twenty consecutive sick (ASA\>III) patients, 14 men and 6 women, aged 64±14 years, suffering from single level septic thoracolumbosacral spondylodiskitis underwent an one-stage less invasively unilateral posterolateral decompression, insertion of titanium cage\& pedicle screw fixation plus contralateral transfascial pedicle screw fixation.

Conditions

• Discitis

Interventions

Type	Name	Description
PROCEDURE	Unilateral Posterolateral Approach and Debridement
OTHER	Titanium cage insertion supplemented by screw fixation

Timeline

• Start date: 2004-01-01
• Primary completion: 2016-12-01
• Completion: 2016-12-01
• First posted: 2018-03-21
• Last updated: 2018-03-27