NDLI: Reconstruction of large defects in vertebral osteomyelitis with expandable titanium cages.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Robinson, Yohan Tschoeke, Sven Kevin Kayser, Ralph Boehm, Heinrich Heyde, Christoph E.
Description	Country affiliation: Germany Author Affiliation: Robinson Y ( Charité-Campus Benjamin Franklin, Center for Trauma and Reconstructive Surgery, Berlin, Germany.)
Abstract	The purpose of this study was to investigate the outcome of expandable titanium cage implantation in large defects caused by acute vertebral osteomyelitis. Twenty-five patients with acute single or multilevel spondylodiscitis were treated after radical débridement and posterior instrumentation with an anterior expandable titanium cage and bone grafting. Clinical, laboratory and radiological follow-up continued for 36 months. Within the postoperative course there was no recurrence of spinal infection. The final radiological examination showed successful fusion in all cases without implant loosening or failure. At the final follow-up after 36 months the Oswestry Disability Index was 23 +/- 14 and the pain visual analogue scale 2.1 +/- 1.7. This study reveals healing and improved function after expandable titanium cage implantation in all patients. Prerequisites for optimal healing include radical débridement, provision of stability for weight-bearing, adequate bone grafting and correction of deformity using rigid implants.
File Format	HTM / HTML
ISSN	03412695
e-ISSN	14325195
DOI	10.1007/s00264-008-0567-2
Journal	International Orthopaedics
Issue Number	3
Volume Number	33
Language	English
Publisher	Springer
Publisher Date	2009-06-01
Publisher Place	Germany
Access Restriction	Open
Subject Keyword	Discipline Orthopedics Osteomyelitis Surgery Spinal Diseases Spinal Fusion Instrumentation Spine Acute Disease Bone Transplantation Debridement Disability Evaluation Internal Fixators Pathology Prospective Studies Prosthesis Design Prosthesis Implantation Reconstructive Surgical Procedures Recovery Of Function Titanium Clinical Trial
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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