[A vascular pedicled duplicated fibula transplant for treatment of lumbar instability following tuberculous spondylodiscitis].
Operative treatment of tuberculous spondylodiscitis is still an important part of the treatment for lumbar spine instability. We report on a patient who suffered an extensive relapse with microbiological confirmation of tuberculous spondylodiscitis following operative spinal treatment for unspecific spondylodiscitis. X-Ray examination showed development of pronounced lumbar instability, which was first treated with the aid of an external fixateur and later by means of a doubled fibular bone graft with a vascularised stem with no dorsal instrumentation, which led to bony consolidation.
Michael
J W-P
JW
Klinik und Poliklinik für Orthopädie der Universität zu Köln, Joseph-Stelzmann-Str. 9, 50924 Köln. joern.michael@uk-koeln.de
Brunkwall
J
J
Fätkenheuer
G
G
Seifert
H
H
Winnekendonk
G
G
Zöller
J E
JE
Eysel
P
P
D000368:Aged; D016025:Bone Transplantation / Q000295:instrumentation / Q000379:methods*; D015299:Discitis / Q000150:complications / Q000601:surgery*; D005360:Fibula / Q000098:blood supply* / Q000637:transplantation*; D006801:Humans; D007593:Joint Instability / Q000209:etiology / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000601:surgery*; D008297:Male; D013123:Spinal Fusion / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome; D014376:Tuberculosis / Q000150:complications / Q000601:surgery*