Anterior debridement, fusion, and extrafocal stabilization in the treatment of osteomyelitis of the spine

J Spinal Disord. 1999 Feb;12(1):17-26.


To simplify and shorten the rehabilitation after anterior debridement and fusion in pyogenic and tuberculous osteomyelitis of the spine, the role of additional extrafocal dorsal transpedicular instrumentation was studied. Thirty-three (10 female, 23 male) patients were followed up in a prospective study and controlled with an average follow-up period of 22.1 months after the operation with clinical and neurologic check-up, blood test, and serial radiographs. Solid bony fusion and healing of the infection was achieved in all patients. Preoperative deformities could be corrected, and there were no life-threatening complications. Dorsal extrafocal stabilization offered the advantage of braceless rehabilitation without adding unpredictable risks.

MeSH terms

  • Adult
  • Aged
  • Bacteria / isolation & purification
  • Bacterial Infections / microbiology
  • Debridement*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Orthopedic Fixation Devices*
  • Osteomyelitis / diagnostic imaging
  • Osteomyelitis / microbiology
  • Osteomyelitis / surgery*
  • Postoperative Complications
  • Prospective Studies
  • Radiography
  • Spinal Diseases / diagnostic imaging
  • Spinal Diseases / microbiology
  • Spinal Diseases / surgery*
  • Spinal Fusion*
  • Treatment Outcome