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DOI: 10.1055/s-0029-1220685
© Georg Thieme Verlag KG Stuttgart · New York
Minimally Invasive Surgical Treatment for Tuberculous Spondylodiscitis
Publication History
Publication Date:
14 January 2010 (online)

Abstract
The authors report the cases of 3 patients with tuberculous spondylodiscitis. All patients suffered from severe back or low back pain. Posterolateral endoscopic debridement and irrigation were performed followed by retention of a drainage tube at the affected sites. Additional puncture and drainage were conducted at the same time when extensive cold abscesses were identified around the paravertebral muscle. All patients experienced immediate pain relief postoperatively. This technique is effective for rapid pain relief and in obtaining neurological resolution for patients in the early stages of tuberculous spondylodiscitis and may also be a good method for preventing further vertebral collapse and kyphotic spinal deformity such as Gibbus vertebrae.
Key words
minimally invasive surgery - endoscopic surgery - tuberculous spondylodiscitis - posterolateral approach
References
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- 3 Yeung AT, Tsou PM. Posterolateral endoscopic exicion for lumbar disc herniation. Surgical technique, outcome, and complications in 307 consecutive patients. Spine. 2002; 27 722-731
- 4 Yu MY, Siu C, Wing PC. et al . Percutaneous suction aspiration for osteomyelitis: report of two cases. Spine. 1991; 16 198-202
- 5 Ito M, Abumi K, Kotani Y. et al . Clinical outcome of posterolateral endoscopic surgery for pyogenic spondylodiscitis: results of 15 patients with serious comorbid conditions. Spine. 2007; 32 200-206
Correspondence
H. SudoMD, PhD
Department of Advanced Medicine for Spine and Spinal Cord Disorders
Hokkaido University Graduate School of Medicine
North-15, West-7
Kita-ku
Sapporo
060-8638 Hokkaido
Japan
Phone: +81/11/706 5934
Fax: +81/11/706 6054
Email: hidekisudo@yahoo.co.jp