Minim Invasive Neurosurg 2009; 52(5/06): 250-253
DOI: 10.1055/s-0029-1220685
Case Report

© Georg Thieme Verlag KG Stuttgart · New York

Minimally Invasive Surgical Treatment for Tuberculous Spondylodiscitis

M. Ito1 , H. Sudo2 , K. Abumi1 , Y. Kotani1 , M. Takahata1 , M. Fujita3 , A. Minami1
  • 1Department of Orthopaedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Japan
  • 2Department of Advanced Medicine for Spine and Spinal Cord Disorders, Hokkaido University Graduate School of Medicine, Sapporo, Japan
  • 3Department of Orthopaedic Surgery, Sapporo Teishin Hospital, Sapporo, Japan
Further Information

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.

References

  • 1 Tuli SM, Srivastava TP, Varma BP. et al . Tuberculosis of spine.  Acta Orthop Scand. 1967;  38 445-458
  • 2 Hanaoka N, Kawasaki Y, Sakai T. et al . Percutaneous drainage and continuous irrigation in patients with severe pyogenic spondylitis, abscess formation, and marked bone destruction.  J Neurosurg Spine. 2006;  4 374-379
  • 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

    >