Version 1
: Received: 31 August 2023 / Approved: 1 September 2023 / Online: 5 September 2023 (05:18:02 CEST)
How to cite:
Kuo, M.; Lai, D.; Tsuang, F. Single-Stage Debridement and Reconstruction with Trabecular Metal Cage for Active Infectious Spondylodiscitis: A Retrospective Cohort Study. Preprints2023, 2023090230. https://doi.org/10.20944/preprints202309.0230.v1
Kuo, M.; Lai, D.; Tsuang, F. Single-Stage Debridement and Reconstruction with Trabecular Metal Cage for Active Infectious Spondylodiscitis: A Retrospective Cohort Study. Preprints 2023, 2023090230. https://doi.org/10.20944/preprints202309.0230.v1
Kuo, M.; Lai, D.; Tsuang, F. Single-Stage Debridement and Reconstruction with Trabecular Metal Cage for Active Infectious Spondylodiscitis: A Retrospective Cohort Study. Preprints2023, 2023090230. https://doi.org/10.20944/preprints202309.0230.v1
APA Style
Kuo, M., Lai, D., & Tsuang, F. (2023). Single-Stage Debridement and Reconstruction with Trabecular Metal Cage for Active Infectious Spondylodiscitis: A Retrospective Cohort Study. Preprints. https://doi.org/10.20944/preprints202309.0230.v1
Chicago/Turabian Style
Kuo, M., Dar-Ming Lai and Fon-Yih Tsuang. 2023 "Single-Stage Debridement and Reconstruction with Trabecular Metal Cage for Active Infectious Spondylodiscitis: A Retrospective Cohort Study" Preprints. https://doi.org/10.20944/preprints202309.0230.v1
Abstract
Early debridement and stabilization for pyogenic spondylodiscitis allow early mobilization of the patient and prevent subsequent spinal deformity. Tantalum (Ta) trabecular metal (TM) components have several potential advantages over conventional implant materials, such as its uniformity and structural continuity, strength, low stiffness, high porosity, high coefficient of friction and tantalum trabecular metal enhances the host defense mechanism by increasing leukocyte chemotaxis, phagocytosis, and the bacterial killing rate. A single-stage surgery with a tantalum trabecular metal cage combining two different approaches is sufficient to maintain vertebral stability. This retrospective cohort study included 57 patients, 31 (54%) patients were treated with single-stage debridement and reconstruction with trabecular metal cages, and 26 (45.6%) patients received spine surgery without trabecular metal cages received surgery between January 2018 and March 2021 in our tertiary academic teaching hospital. The CRP values dropped borderline significantly in the TM cage group compared with the non-TM cage group postoperatively. In patients with spondylodiscitis, it is advisable to perform single-stage debridement and reconstruction with a trabecular metal cage, which allows abscess drainage and rapid mobilization, prevents deformity.
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
