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01-06-2009 | Original Paper

Reconstruction of large defects in vertebral osteomyelitis with expandable titanium cages

Authors: Yohan Robinson, Sven Kevin Tschoeke, Ralph Kayser, Heinrich Boehm, Christoph E. Heyde

Published in: International Orthopaedics | Issue 3/2009

Abstract

The purpose of this study was to investigate the outcome of expandable titanium cage implantation in large defects caused by acute vertebral osteomyelitis. Twenty-five patients with acute single or multilevel spondylodiscitis were treated after radical débridement and posterior instrumentation with an anterior expandable titanium cage and bone grafting. Clinical, laboratory and radiological follow-up continued for 36 months. Within the postoperative course there was no recurrence of spinal infection. The final radiological examination showed successful fusion in all cases without implant loosening or failure. At the final follow-up after 36 months the Oswestry Disability Index was 23 ± 14 and the pain visual analogue scale 2.1 ± 1.7. This study reveals healing and improved function after expandable titanium cage implantation in all patients. Prerequisites for optimal healing include radical débridement, provision of stability for weight-bearing, adequate bone grafting and correction of deformity using rigid implants.

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Title: Reconstruction of large defects in vertebral osteomyelitis with expandable titanium cages
Authors: Yohan Robinson
Sven Kevin Tschoeke
Ralph Kayser
Heinrich Boehm
Christoph E. Heyde
Publication date: 01-06-2009
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 3/2009
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-008-0567-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Reconstruction of large defects in vertebral osteomyelitis with expandable titanium cages

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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