Yıl: 2015 Cilt: 25 Sayı: 4 Sayfa Aralığı: 513 - 518 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

İnternal Fiksasyon ile veya Olmadan Postoperatif Spondilodiskit Tedavisi

Öz:
Postoperatif spondilodiskit nispeten nadirdir. Bu komplikasyon, artmış maliyet ve uzun süreli çalışamama ve hatta morbidite ile ilişkilidir. Postoperatif spondilodiskit olgularının çoğu konservatif tedaviyle iyi takip edilebilir ama internal fiksasyondan sonra postoperatif spondilodiskit ve konservatif tedaviye cevap vermeyenler cerrah açısından zorluk çıkarırlar. Derleme internal fiksasyon ile veya olmadan postoperatif spondilodiskit tedavisinin analizini içermektedir ve internal fiksasyonsuz postoperatif spondilodiskit olgularının çoğunda konservatif tedaviyle tam başarı sağlanabileceğini düşündürmektedir. Konservatif tedavi başarısız olduğunda internal fiksasyonsuz postoperatif spondilodiskiti tedavi etmek için posterior veya anterior debridman kullanılabilir. Ayrıca minimal invaziv debridman ve drenaj da alternatif tedavi olabilir. İnternal fiksasyon sonrasında postoperatif spondilodiskit durumunda cerrahi tedavi gereklidir. Servikal omurgada bu durum anterior debridman, internal fiksasyonun çıkarılması ve kemik greftleri/kafesi/anterior plak kullanımıyla spinal stabilite-rekonstrüksiyon yoluyla iyi bir şekilde tedavi edilebilir. İnternal fiksasyon sonrasında postoperatif spondilodiskit durumu kombine anterior debridman, posterior yaklaşımla füzyon ve torasik ve lomber omurgada pedikül vidasının lezyon bölgesinin ötesine uzatılması veya pedikül vidasının çıkarılması ile başarılı bir şekilde tedavi edilebilir.
Anahtar Kelime:

Konular: Ortopedi

Rev iew Management of Postoperative Spondylodiscitis with and without Internal Fixation

Öz:
Postoperative spondylodiscitis is relatively uncommon. This complication is associated with increased cost, and long-term of inability to work, and even morbidity. Although the majority of postoperative spondylodiscitis cases can be well managed by conservative treatment, postoperative spondylodiscitis after internal fixation and those cases that are unresponsive to the conservative treatment present challenges to the surgeon. Here, a review was done to analyze the treatment of postoperative spondylodiscitis with/without internal fixation. This review article suggested that majority of postoperative spondylodiscitis without internal fixation could be cured by conservative treatment. Either posterior or anterior debridement can be used to treat postoperative spondylodiscitis without internal fixation when conservative treatment fails. In addition, minimally invasive debridement and drainage may also be an alternative treatment. In case of postoperative spondylodiscitis after internal fixation, surgical treatment was required. In the cervical spine, it can be well managed by anterior debridement, removal of internal fixation, and reconstruction of the spinal stability by using bone grafting/cage/anterior plate. Postoperative spondylodiscitis after internal fixation is successfully managed by combined anterior debridement, fusion with posterior approach and removal of pedicle screw or extension of pedicle screw beyond the lesion site, in the thoracic and lumbar spine.
Anahtar Kelime:

Konular: Ortopedi
Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
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APA Wang X, TAO H, ZHU Y, LU X, HU X (2015). İnternal Fiksasyon ile veya Olmadan Postoperatif Spondilodiskit Tedavisi. , 513 - 518.
Chicago Wang Xiang,TAO Hairong,ZHU Yanhui,LU Xiongwei,HU Xiaopeng İnternal Fiksasyon ile veya Olmadan Postoperatif Spondilodiskit Tedavisi. (2015): 513 - 518.
MLA Wang Xiang,TAO Hairong,ZHU Yanhui,LU Xiongwei,HU Xiaopeng İnternal Fiksasyon ile veya Olmadan Postoperatif Spondilodiskit Tedavisi. , 2015, ss.513 - 518.
AMA Wang X,TAO H,ZHU Y,LU X,HU X İnternal Fiksasyon ile veya Olmadan Postoperatif Spondilodiskit Tedavisi. . 2015; 513 - 518.
Vancouver Wang X,TAO H,ZHU Y,LU X,HU X İnternal Fiksasyon ile veya Olmadan Postoperatif Spondilodiskit Tedavisi. . 2015; 513 - 518.
IEEE Wang X,TAO H,ZHU Y,LU X,HU X "İnternal Fiksasyon ile veya Olmadan Postoperatif Spondilodiskit Tedavisi." , ss.513 - 518, 2015.
ISNAD Wang, Xiang vd. "İnternal Fiksasyon ile veya Olmadan Postoperatif Spondilodiskit Tedavisi". (2015), 513-518.
APA Wang X, TAO H, ZHU Y, LU X, HU X (2015). İnternal Fiksasyon ile veya Olmadan Postoperatif Spondilodiskit Tedavisi. Turkish Neurosurgery, 25(4), 513 - 518.
Chicago Wang Xiang,TAO Hairong,ZHU Yanhui,LU Xiongwei,HU Xiaopeng İnternal Fiksasyon ile veya Olmadan Postoperatif Spondilodiskit Tedavisi. Turkish Neurosurgery 25, no.4 (2015): 513 - 518.
MLA Wang Xiang,TAO Hairong,ZHU Yanhui,LU Xiongwei,HU Xiaopeng İnternal Fiksasyon ile veya Olmadan Postoperatif Spondilodiskit Tedavisi. Turkish Neurosurgery, vol.25, no.4, 2015, ss.513 - 518.
AMA Wang X,TAO H,ZHU Y,LU X,HU X İnternal Fiksasyon ile veya Olmadan Postoperatif Spondilodiskit Tedavisi. Turkish Neurosurgery. 2015; 25(4): 513 - 518.
Vancouver Wang X,TAO H,ZHU Y,LU X,HU X İnternal Fiksasyon ile veya Olmadan Postoperatif Spondilodiskit Tedavisi. Turkish Neurosurgery. 2015; 25(4): 513 - 518.
IEEE Wang X,TAO H,ZHU Y,LU X,HU X "İnternal Fiksasyon ile veya Olmadan Postoperatif Spondilodiskit Tedavisi." Turkish Neurosurgery, 25, ss.513 - 518, 2015.
ISNAD Wang, Xiang vd. "İnternal Fiksasyon ile veya Olmadan Postoperatif Spondilodiskit Tedavisi". Turkish Neurosurgery 25/4 (2015), 513-518.