International Journal of Multidisciplinary Research and Development

International Journal of Multidisciplinary Research and Development


International Journal of Multidisciplinary Research and Development
International Journal of Multidisciplinary Research and Development
Vol. 2, Issue 11 (2015)

Surgical Outcome of one stage (anterior and posterior) surgical treatment of primary pyogenic spinal infection in the thoracic spine using minimally invasive techniques


Hamdan Abdelrahman, Mohamed Gamal Hassan, Mohamed El-meshtawy, Khalid Mohamed Hassan, Mootaz Shousha, Heinrich Boehm

Study design: a prospective observational studyrnObjective: was to evaluate the clinical outcomes of one stage video- assisted thoracoscopic debridement and reconstruction combined with posterior percutaneous transpedicular fixation in prone position in the treatment of pyogenic spinal infections in the thoracic spine.rnMethods: between 2010 and 2013, 54 patients with primary pyogenic spinal infection at the thoracic spine underwent anterior thoracoscopically assisted debridement and fusion combined with Posterior Transpediculr Fixation (PTPF) in prone position. The clinical outcomes were evaluated before and after the surgery in terms of hematologic examination, pain level, and neurologic status. Bone fusion and changes in sagittal alignment were examined radiographically. rnResults: Fifty four patients were included (35 males and 19 females) with mean age of 67.6 years. More than 80% of the patients had associated comorbidities. The mean operative time was 195.46 46.629 minutes, for thoracoscopic anterior surgery was 100.3730.045 min; and for posterior 95.09329.308 minutes. The average blood loss was 533279.413 ml. Twenty nine patients (53%) had preoperative neurological deficits ranging from Frankel A to D. One patient (Frankel A) did not show any neurological improvement at the final follow-up. The mean VAS at final follow-up was 1.03/10 (preoperative 7.89). The mean preoperative kyphosis angle was 17.11, improved to 6.51 postoperatively and reached 8.48 at the final follow-up. First year mortality rate was 5.5% (3 patients). rnConclusion: Minimal invasive spinal techniques including thoracoscopic debridement and fusion and posterior percutaneous instrumentation showed good clinical and radiological outcomes and can be considered as alternative to open procedures with decreased rates of morbidities in managing thoracic spinal infections in elderly patients.
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How to cite this article:
Hamdan Abdelrahman, Mohamed Gamal Hassan, Mohamed El-meshtawy, Khalid Mohamed Hassan, Mootaz Shousha, Heinrich Boehm. Surgical Outcome of one stage (anterior and posterior) surgical treatment of primary pyogenic spinal infection in the thoracic spine using minimally invasive techniques. International Journal of Multidisciplinary Research and Development, Volume 2, Issue 11, 2015, Pages 110-113
International Journal of Multidisciplinary Research and Development International Journal of Multidisciplinary Research and Development