scholarly journals Single-Stage Debridement and Spinal Instrumentation for Salmonella Spondylodiscitis of Thoracic Vertebra

Cureus ◽  
2021 ◽  
Author(s):  
Muhammad Zaki ◽  
Mohd Hisam Muhammad Ariffin
Keyword(s):  
Spinal Instrumentation ◽  
Thoracic Vertebra ◽  
Single Stage

Ex vivo virtual and 3D printing methods for evaluating an anatomy‐based spinal instrumentation technique for the 12th thoracic vertebra

2020 ◽  
Vol 33 (3) ◽  
pp. 458-467 ◽  
Author(s):  
William Clifton ◽  
Eric Nottmeier ◽  
Karim ReFaey ◽  
Aaron Damon ◽  
Alexander Vlasak ◽  
...  
Keyword(s):  
3D Printing ◽  
Ex Vivo ◽  
Spinal Instrumentation ◽  
Thoracic Vertebra

LATERAL CAVITATORY APPROACH WITH CIRCUMSPINAL DECOMPRESSION IN TUBERCULOUS SPONDYLITIS: A 5YR FOLLOW-UP STUDY

2019 ◽  
pp. 1-3
Keyword(s):  
Spinal Fusion ◽  
Pedicle Screw ◽  
Spinal Tuberculosis ◽  
Thoracolumbar Spine ◽  
Spinal Instrumentation ◽  
Posterior Spinal Fusion ◽  
Neurological Complications ◽  
Single Stage ◽  
Laboratory Findings

Introduction: Spinal tuberculosis has been managed with various modalities of treatment ranging from only antituberculous drugs to radical surgical extirpation. Opinion is divided on management of Potts Paraplegia with respect to surgical approach to the lesion. Results are conflicting on anterior verses posterior approaches as well combined approach. There is also confusion on to when to do anterior first or to operate from posterior first, in combined approaches. In the present study we present 10 year follow-up of our results, clinical and radiological outcomes, of Single stage Circumspinal decompression and pedicle screw fixation through lateral extracavitatory approach with anterior and posterior spinal fusion in cases of Pott's paraplegia. Methods:The study was a retrospective and prospective follow up of 30 patients with active tuberculosis of thoracolumbar spine with neurological deficit, who underwent posterior spinal instrumentation with lateral extra cavitatory approach with circumspinal decompression and pedicle screw instrumentation. Diagnosis of spinal tuberculosis was made by laboratory findings such as anaemia, elevated ESR, radiological features with typical MR imaging findings. 8 patients had multilevel involvement. Kyphosis of 250 to 550 was present. Circumspinal decompression, correction of kyphosis, anterior and posterior spinal fusion was performed in a single stage. The average follow up was 7.67 years (92 months). Results: The mean kyphosis angle improved from 320 preoperatively to 80 in early follow up, followed by a minor loss of correction of 30. Neurological recovery occurred in 28 patients out of 30 patients. 15 patients recovered from Asia A to AIS E. 13 patients recovered to ASIA D. The visual analog scale and ASIA grade improved in all the cases. Implant failure in the form of rod breakage was seen in 1 patient but with no neurological complications. Conclusion: Drainage of abscess, debridement by extracavitatory route constitutes a less demanding, relatively safe, minimally traumatic operative technique with adequate circumspinal decompression of spinal cord, correction and maintenance of sagittal balance with relatively less morbidity is the added advantage.

Synchronous Vertebral Decompression and Posterior Stabilization in the Treatment of Spinal Malignancy

Neurosurgery ◽  
1989 ◽  
Vol 25 (6) ◽  
pp. 872-876 ◽  
Author(s):  
Francis G. Johnston ◽  
David Uttley ◽  
Henry T. Marsh
Keyword(s):  
Preoperative Radiotherapy ◽  
Spinal Instrumentation ◽  
Spinal Column ◽  
Cord Compression ◽  
Single Stage ◽  
Vertebral Collapse ◽  
Posterior Stabilization ◽  
Operative Morbidity ◽  
Computed Tomographic ◽  
Posterior Element

Abstract Thirty-four patients with metastatic tumors of the spinal column exhibiting vertebral collapse and posterior element disease were treated by a single-stage operation combining decompression of the vertebral body with posterior spinal instrumentation. Attention is drawn to the use of computed tomographic scanning in planning the operative approach. The indications for surgery were neurological deficit in 32 patients and pain in 2; 14 patients received preoperative radiotherapy. Of the 21 patients who were nonambulant preoperatively, 67% walked again, 21% regained sphincter control, and 68% had less pain. The surgical mortality was 12%; wound infection and dehiscence occurred in 15%. These results indicate that a single-stage decompression and posterior stabilization may improve neurological function dramatically in patients with malignant cord compression. The operative morbidity and mortality is comparable to that of laminectomy.

33: Synchronous Urethral Strictures: Prevalence and 10-Year Experience with Single Stage Reconstruction Via Systematic Retrograde Surgical Approach

2007 ◽  
Vol 177 (4S) ◽  
pp. 12-12
Author(s):  
L. Andrew Evans ◽  
Benjamin Moses ◽  
Kevin Rice ◽  
Craig Robson ◽  
Allen F. Morey
Keyword(s):  
Surgical Approach ◽  
Single Stage ◽  
Urethral Strictures

A SINGLE STAGE ECR SOURCE FOR THE RADIOACTIVE ION BEAM PROJECT IN LOUVAIN-LA-NEUVE

1989 ◽  
Vol 50 (C1) ◽  
pp. C1-813-C1-817
Author(s):  
M. ARNOULD ◽  
F. BAETEN ◽  
D. DARQUENNES ◽  
Th. DELBAR ◽  
C. DOM ◽  
...  
Keyword(s):  
Ion Beam ◽  
Single Stage ◽  
Radioactive Ion Beam ◽  
Ecr Source

Immediate Single-Stage Reconstruction of Complex Frontofaciobasal Injuries: Part II

2014 ◽  
Vol 75 (S 01) ◽  
Author(s):  
Sherif Emara ◽  
Hassan Nablsi ◽  
Tarek ELKammash ◽  
Mohamed Sief ◽  
Khaled Attia ◽  
...  
Keyword(s):  
Single Stage
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