Open Transforaminal Lumbar Interbody Fusion (TLIF) for post-discectomy spondylodiscitis: Our experience
Journal Title: Indian Journal of Neurosciences - Year 2018, Vol 4, Issue 3
Abstract
Introduction Post operative lumbar Spondylodiscitis after lumbar discectomy surgery is well known complication with has a variable incidence rate usually less than 11 Post op spondylodiscitis is an infection of nucleus pulposus annulus fibrosis with sometimes secondary involvement of cartilaginous end plates and vertebral bodies following lumbar disc surgeries2 Early diagnosis of discitis based on clinical laboratory radiological findings and appropriate management is essential to reduce morbidityAim Retrospective review of patients undergoing transforaminal lumbar interbody fusion TLIF for postop discitis to evaluate clinical outcome and complicationsMaterial and MethodsAll patients undergone TLIF for postlumbar discectomy spondylodiscitis at our institute from sept3913 to sept3917 were included in our study All patients had moderate to severe lumbar backage Initialy a course of conservative treatment with broad spectrum I V antibiotics was given followed by surgery On follow up patients were assessed with physical examination and radiographs Outcome were measured in terms of operative time blood loss and surgical complications Parameters like Visual analogue scaleVAS for painmodified Rankin scale mRS were evaluate before and after surgery and on subsequent follow up visitsResults Modified Rankin scale mRS and VAS enhanced in all patients Conclusion Postoperative spondylodiscitis can be successfully managed with transforaminal lumbar interbody fusion TLIF and posterior spinal instrumentation There is significant pain relief and good functional outcome after surgeryKeywords Spondylodiscitis Post discectomy infection Transforaminal Lumbar Interbody Fusion TLIF Lumbar disc infection
Authors and Affiliations
Bhagwati Salgotra, Sanjeev Attry, Dhruv Patel, Keval Sansiya
Keywords
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