AI Article Synopsis
- The study assesses a new surgical method for treating cervical discitis and vertebral osteomyelitis, focusing on two patients who underwent the procedure.
- The patients received anterior cervical decompression and reconstruction with an antibiotic-impregnated material, followed by six weeks of intravenous antibiotics, resulting in successful outcomes.
- The technique proved to be effective for long-term stability and infection control, allowing both patients to remain antibiotic-free after over 18 months of follow-up.
Article Abstract
Aim: To evaluate the feasibility of this novel surgical approach for treatment of cervical discitis and vertebral osteomyelitis.
Material And Methods: This is a report of two patients who underwent anterior cervical decompression for discitis and vertebral osteomyelitis (DVO) with cervical spine reconstruction with polymethylmethacrylate impregnated with antibiotics (AI-PMMA).
Results: Both patients had successful procedures that were followed by 6 weeks of intravenous antibiotics. Stabilization and eradication of infection was achieved with clinical and radiographic stabilization seen in both. Follow-up is greater than 18 months and both patients remain off antibiotics.
Conclusion: The described technique using AI-PMMA offers immediate structural stability and local delivery of high concentration of antibiotics. Use in two patients has demonstrated a cost effective, long-term biomechanically stable construct and infection control.
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| http://dx.doi.org/10.5137/1019-5149.JTN.9380-13.0 | DOI Listing |
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