Universität zu Köln

Scheyerer, Max J., Herren, Christian, Kuehne, Christian, Neufang, Jorg, Pieroh, Philipp and von der Hoeh, Nicolas H. (2022). Surgical Treatment Strategies for Pyogenic Spondylodiscitis of the Thoracolumbar Spine. Z. Orthop. Unfallchir., 160 (6). S. 621 - 629. NEW YORK: THIEME MEDICAL PUBL INC. ISSN 1864-6743

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Abstract

Background Despite advances, the morbidity and mortality rates of patients with spondylodiscitis remains high, with an increasing incidence worldwide. Although conservative therapy has progressed, several cases require surgical intervention. However, the indication and opportunities for surgical treatment are still disputable. Methods In a joint consensus, the members of the `Spondylodiscitis' working group of the Spine Section of the German Society for Orthopaedics and Trauma Surgery considered current literature, particularly the newly published S2k guideline of the AWMF, and examined the surgical indications and treatment strategies for thoracolumbar spondylodiscitis. Results Surgical intervention for spondylodiscitis is only required in a small percentage of patients. In studies comparing conservative and surgical therapies, most patients benefitted from surgery, regardless of the surgical technique selected. Presently, the standard procedure is a combined dorsoventral approach, in which a monolateral attempt should always be made. The choice of material (PEEK, titanium) for ventral support does not influence the clinical result.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Scheyerer, Max J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Herren, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Kuehne, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Neufang, Jorg UNSPECIFIED UNSPECIFIED UNSPECIFIED Pieroh, Philipp UNSPECIFIED UNSPECIFIED UNSPECIFIED von der Hoeh, Nicolas H. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-677592
DOI:	10.1055/a-1527-7939
Journal or Publication Title:	Z. Orthop. Unfallchir.
Volume:	160
Number:	6
Page Range:	S. 621 - 629
Date:	2022
Publisher:	THIEME MEDICAL PUBL INC
Place of Publication:	NEW YORK
ISSN:	1864-6743
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PERCUTANEOUS ENDOSCOPIC DEBRIDEMENT; LUMBAR INTERBODY FUSION; VERTEBRAL OSTEOMYELITIS; SCREW FIXATION; DISCITIS; EFFICACY; PEEK; MANAGEMENT; SURGERY; SAFETY Multiple languages Orthopedics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/67759