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Lumbosacral Discitis and Osteomyelitis after Sacrocolpopexy: A Case Series and Review of Management.
Int Urogynecol J
December 2024
Department of Obstetrics and Gynecology, Division of Urogynecology, Houston Methodist Hospital, Houston, TX, USA.
Introduction And Hypothesis: Lumbosacral discitis and osteomyelitis constitute a rare but devastating complication after mesh sacrocolpopexy for pelvic organ prolapse.
Methods: We present a case series of 3 patients at a single institution and a literature review of 30 patients suffering from this complication along with presenting symptoms, evaluation with laboratory and imaging findings, and management.
Results: Lumbosacral discitis can present after sacrocolpopexy of any route (abdominal, laparoscopic, and robotic) and with various suture types and tacking devices.
Case report of minimally invasive spinal endoscopic debridement and pedicle screw fixation for severe spinal infection of the lumbosacral spine.
N Am Spine Soc J
September 2024
Department of Neurosurgery, Norwest Private Hospital, 11 Norbrik Drive, Bella Vista, New South Wales 2153, Australia.
Article Synopsis
- Surgical treatment for spinal infections is becoming more common, especially in cases that don’t respond to medical treatment, as illustrated by a patient with discitis caused by a spinal steroid injection.* -
- The patient underwent a minimally invasive procedure involving endoscopic debridement and decompression, which effectively addressed the complications and enabled pathogen identification.* -
- Post-surgery, the patient showed significant improvement in neurological symptoms and mobility, highlighting the effectiveness of endoscopic techniques in managing severe spinal discitis.*
Article Synopsis
- Low back pain from disc issues is common and tough to manage; while intradiscal platelet rich plasma (PRP) is an option, it carries risks like discitis, making epidural PRP a potentially safer alternative.
- A study aimed to evaluate the effectiveness of epidural PRP injections in 11 patients with persistent low back pain believed to stem from discs, tracking their pain and disability over 12 months.
- Results showed significant reductions in pain and disability scores at multiple follow-ups; half of patients reduced their pain medication, and a high percentage reported treatment satisfaction and meaningful improvements in their condition.
Is Restoration of Sagittal Spinopelvic Parameters Necessary in Spinal Tuberculosis of Lumbar and Lumbosacral Spine? Conservative versus Operative Management.
World Neurosurg
November 2024
Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, India. Electronic address:
Article Synopsis
- The study investigates the relationship between spinopelvic parameters and functional outcomes in patients with lumbar spine tuberculosis, comparing those who underwent surgical treatment to those who received conservative management.
- A total of 47 patients were analyzed, with significant improvements in functional measures (Oswestry Disability Index and Visual Analog Scale) noted in both groups after 6 months, although surgical patients showed greater enhancements.
- The findings suggest that restoring lumbar lordosis (LL) and other spinopelvic parameters positively impacts recovery, highlighting the effectiveness of surgical intervention over conservative methods.
Article Synopsis
- Facet joint septic arthritis (FJSA) is a rare cause of neck pain, often leading to severe complications, and requires careful diagnosis for effective treatment.
- A unique case involving a 66-year-old man demonstrated FJSA in the cervical spine caused by Moraxella osloensis, showing symptoms like neck pain and numbness, identified through MRI and cultures.
- The case highlights the typical role of Staphylococcus aureus in FJSA cases, emphasizes the importance of early diagnosis and treatment, and adds new insights into this uncommon condition.
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