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- W2068854786 abstract "Aim: Surgical treatment of spondylodiscitis requires removal of the infected vertebral bodies and discs, defect filling and re-stabilization of the spinal column, usually performed by internal fixation. The present study investigates, if stabilisation by the use of an (external) spinal orthosis leads to a decrease in the rate of bony fusion or an increase in loss of reposition. Method: A retrospective analysis of 29 patients who underwent operative therapy of spondylodiscitis. After radical debridement and bone grafting, stabilisation was performed by use of an external orthosis for 3 months (group 1, n=20). Alternatively, an additional posterior instrumentation (internal fixation) was performed in 9 patients (group 2). Results: After intraoperative correction of the kyphosis of 10° for both groups, a loss of correction of 6.2° at follow up could be observed (group 1: 5.1 ± 6.2°; group 2: 8.0±6.1°). The rate of bony fusion for both groups was 96.5% (group 1: 95%, group 2: 100%). There were no significant differences between the groups. Conclusion: Our results show that debridement of the infected area and bone grafting using a ventral approach followed by the temporary use of a spinal orthosis results in sufficient bony fusion without major loss of reposition." @default.
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- W2068854786 date "2005-10-01" @default.
- W2068854786 modified "2023-10-16" @default.
- W2068854786 title "Spondylodiszitis - ventrale oder ventrodorsale Spondylodese?" @default.
- W2068854786 doi "https://doi.org/10.1055/s-2005-865954" @default.
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