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Article: Pyogenic vertebral osteomyelitis: Treatment by anterior spinal debridement and fusion

TitlePyogenic vertebral osteomyelitis: Treatment by anterior spinal debridement and fusion
Authors
KeywordsAnterior spinal fusion
Pyogenic spondylitis
Vertebral osteomyelitis
Issue Date1994
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.jspinaldisorders-tech.com
Citation
Journal Of Spinal Disorders, 1994, v. 7 n. 2, p. 173-180 How to Cite?
AbstractForty-three patients with pathologically proven vertebral osteomyelitis were studied between 1957 and 1990. Thirty-nine underwent anterior debridement and fusion, and four underwent anterior debridement only. The indications for surgery were uncertain diagnosis, persistent pain, failed conservative treatment with uncontrolled sepsis, and neurological involvement. Thirty patients were followed-up for an average period of 5 years, with a minimum of 2 years and the longest for 15 years. All their symptoms improved after surgery; only one patient subsequently deteriorated due to multiple level recurrence. All patients with neurological deficit improved. Bony fusion occurred in 93% of cases (average time to fusion, 6.8 months), and 90% of the patients were able to return to their original work 4-20 months after surgery. We feel that anterior debridement and spinal fusion allow for reliable microbiological and histological diagnosis, and rapid relief of symptoms and return to work. Primary bone grafting is successful despite the presence of infection.
Persistent Identifierhttp://hdl.handle.net/10722/79586
ISSN
2001 Impact Factor: 0.742
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorFang, Den_HK
dc.contributor.authorCheung, KMCen_HK
dc.contributor.authorDos Remedios, IDMen_HK
dc.contributor.authorLee, YKen_HK
dc.contributor.authorLeong, JCYen_HK
dc.date.accessioned2010-09-06T07:56:20Z-
dc.date.available2010-09-06T07:56:20Z-
dc.date.issued1994en_HK
dc.identifier.citationJournal Of Spinal Disorders, 1994, v. 7 n. 2, p. 173-180en_HK
dc.identifier.issn0895-0385en_HK
dc.identifier.urihttp://hdl.handle.net/10722/79586-
dc.description.abstractForty-three patients with pathologically proven vertebral osteomyelitis were studied between 1957 and 1990. Thirty-nine underwent anterior debridement and fusion, and four underwent anterior debridement only. The indications for surgery were uncertain diagnosis, persistent pain, failed conservative treatment with uncontrolled sepsis, and neurological involvement. Thirty patients were followed-up for an average period of 5 years, with a minimum of 2 years and the longest for 15 years. All their symptoms improved after surgery; only one patient subsequently deteriorated due to multiple level recurrence. All patients with neurological deficit improved. Bony fusion occurred in 93% of cases (average time to fusion, 6.8 months), and 90% of the patients were able to return to their original work 4-20 months after surgery. We feel that anterior debridement and spinal fusion allow for reliable microbiological and histological diagnosis, and rapid relief of symptoms and return to work. Primary bone grafting is successful despite the presence of infection.en_HK
dc.languageengen_HK
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.jspinaldisorders-tech.comen_HK
dc.relation.ispartofJournal of Spinal Disordersen_HK
dc.rightsJournal of Spinal Disorders. Copyright © Lippincott Williams & Wilkins.en_HK
dc.subjectAnterior spinal fusionen_HK
dc.subjectPyogenic spondylitisen_HK
dc.subjectVertebral osteomyelitisen_HK
dc.titlePyogenic vertebral osteomyelitis: Treatment by anterior spinal debridement and fusionen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0895-0385&volume=7&issue=2&spage=173&epage=180&date=1994&atitle=Pyogenic+vertebral+osteomyelitis:+treatment+by+anterior+spinal+debridement+and+fusionen_HK
dc.identifier.emailCheung, KMC:cheungmc@hku.hken_HK
dc.identifier.authorityCheung, KMC=rp00387en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid8003836-
dc.identifier.scopuseid_2-s2.0-0028326860en_HK
dc.identifier.hkuros2608en_HK
dc.identifier.volume7en_HK
dc.identifier.issue2en_HK
dc.identifier.spage173en_HK
dc.identifier.epage180en_HK
dc.identifier.isiWOS:A1994NE01400012-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridFang, D=20134136000en_HK
dc.identifier.scopusauthoridCheung, KMC=7402406754en_HK
dc.identifier.scopusauthoridDos Remedios, IDM=55274857900en_HK
dc.identifier.scopusauthoridLee, YK=37030975100en_HK
dc.identifier.scopusauthoridLeong, JCY=35560782200en_HK

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