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Fluoroscopy guided transpedicular abscess infusion and drainage in thoracic-lumbar spondylitis with prevertebral abscess

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Abstract

Purpose

To evaluate the effectiveness of fluoroscopy guided transpedicular abscess infusion and drainage in thoracic-lumbar spondylitis with prevertebral abscess.

Methods

We retrospectively reviewed 14 patients with infectious spondylitis with prevertebral abscesses from January 2019 to December 2022. All patients underwent fluoroscopy guided transpedicular abscess infusion and drainage. Erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), visual analog scale (VAS), Macnab criteria, and magnetic resonance imaging (MRI) were compared before and after the operation to evaluate clinical outcomes.

Results

Among the 14 patients with prevertebral abscesses, 64.29% (9/14) involved the lumbar spine and 35.71% (5/14) involved the thoracic spine. The ESR, CRP, and VAS scores decreased from 87.34 ± 9.21, 93.01 ± 11.17, and 8.38 ± 0.97 preoperatively to 12.35 ± 1.61, 8.52 ± 1.19, and 2.02 ± 0.64 at the final follow-up, respectively. MRI at the final follow-up showed the disappearance of the prevertebral abscess compared with that in the preoperative group (66.95 ± 12.63 mm in diameter). Ten patients achieved an “excellent” outcome, while the remaining four patients obtained a “good” outcome according to the Macnab criteria.

Conclusion

Fluoroscopy guided transpedicular abscess infusion and drainage is a safe and minimally invasive procedure for the management of thoracic-lumbar spondylitis with a prevertebral abscess.

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Data availability

The data that support the finding of this study are available from the corresponding author upon reasonable request.

Code availability

Not applicable.

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Author information

Authors and Affiliations

  1. Department of Spine Surgery, Weihai Municipal Hospital, Cheeloo College of Medicine, Shandong University, Weihai, China

    Yuanhao Wang, Cong Chen, Lei Peng & Peng Wang

Authors
  1. Yuanhao Wang
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  2. Cong Chen
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  3. Lei Peng
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  4. Peng Wang
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Contributions

Peng Wang designed this study and participated in the surgery. Yuanhao Wang collected the data and wrote the manuscript. Cong Chen performed all the surgeries as the senior surgeon. Yuanhao Wang and Lei Peng participated in the follow-up and data collection. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Peng Wang.

Ethics declarations

Ethics approval and consent to participate

This study was performed in line with the principles of the Declaration of Helsinki. The Ethics Committee of Weihai Municipal Hospital approved this study. Written informed consent to participate in this study was obtained from all patients.

Consent for publication

All participants gave written informed consent for their personal or clinical details along with any identifying images to be published in this study.

Competing interests

The authors declare no competing interest.

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Wang, Y., Chen, C., Peng, L. et al. Fluoroscopy guided transpedicular abscess infusion and drainage in thoracic-lumbar spondylitis with prevertebral abscess. International Orthopaedics (SICOT) 47, 2295–2300 (2023). https://doi.org/10.1007/s00264-023-05866-y

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  • DOI: https://doi.org/10.1007/s00264-023-05866-y

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