title: Percutaneous transpedicular discectomy and drainage in pyogenic spondylodiscitis.
abstract: Spondylodiscitis normally heals itself, but it can cause bone destruction leading to deformity and often pain. Debridement of these infections by percutaneous transpedicular discectomy with access from adjacent caudal pedicles can accelerate natural healing and prevent progression to bone destruction and deformity. We outline this technique and discuss a series of 28 patients treated using a percutaneous transpedicular approach to obtain culture and histopathology specimens, permit drainage and antibiotic irrigation, and provide a channel for granulation tissue to invade the infected space. This procedure is safe and effective, but it is contraindicated for epidural abscess or granulation tissue-induced neurocompression and it is ineffective against extensive bone destruction.
authors.affiliation: Department of Orthopaedic Surgery and Neurosurgery, University of Texas Medical Branch, Galveston, USA.
authors.forename: A G
authors.initials: AG
authors.lastname: Hadjipavlou
authors.forename: W N
authors.initials: WN
authors.lastname: Crow
authors.forename: A
authors.initials: A
authors.lastname: Borowski
authors.forename: J T
authors.initials: JT
authors.lastname: Mader
authors.forename: A
authors.initials: A
authors.lastname: Adesokan
authors.forename: R E
authors.initials: RE
authors.lastname: Jensen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D015299:Discitis / Q000175:diagnosis / Q000601:surgery*; D017587:Diskectomy, Percutaneous / Q000379:methods*; D004322:Drainage; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D013492:Suppuration; D007507:Therapeutic Irrigation
chemical_list: D000900:Anti-Bacterial Agents