Experience of Surgical Treatment of Tuberculous and Nonspecific Spondylitis with a Barrier Collagen Membrane to Stimulate Osteogenesis in the Site of Bone Block Formation
https://doi.org/10.58838/2075-1230-2024-102-5-58-63
Abstract
The objective: to increase effectiveness of surgical treatment of infectious spondylitis with impaired support function of the spinal column through the combined use of a titanium cylindrical block mesh, a resorbable double-sided collagen membrane and an osteoconductor to achieve successful spinal fusion.
Subjects and Methods. A prospective monocenter cohort study included 17 patients with infectious spondylitis who were operated with anterior spinal fusion with a titanium mesh graft filled with an osteoconductor and delimited by a barrier double-sided collagen membrane. In the postoperative period, antibacterial treatment was administered based according to the results of bacteriological tests of biological specimensl. Formation of the bone block (spondylodesis) was evaluated by the scale for assessing the fusion of the graft with the bed of the cranial and caudal vertebrae.
Results. 6 months after surgery, the fusion of the graft with the bed of the supporting vertebra according to the Baulin scale was 4.5 ± 0.4 scores on the average. In 5 (29%) patients, a clear, homogeneous bone block with a transition of bone beams was achieved after surgery which amounted to 5 scores by the Baulin scale.
About the Authors
E. O. Peretsmanas
National Medical Research Center of Phthisiopulmonology and Infectious Diseases, Russian Ministry of Health
Russian Federation
Russian Federation
Evgeniy O. Peretsmanas, Doctor of Medical Sciences, Head of Research Department of Osteoarticular Pathology, Honored Doctor of Russia
Build. 2, 4 Dostoevskiy St., Moscow, 127994 Phone: + 7 (495) 681-11-66
A. A. Bezzubov
National Medical Research Center of Phthisiopulmonology and Infectious Diseases, Russian Ministry of Health
Russian Federation
Russian Federation
Aleksandr A. Bezzubov, Neurosurgeon of Extrapulmonary Tuberculosis Department
Build. 2, 4 Dostoevskiy St., Moscow, 127994 Phone: + 7 (495) 681-11-66
N. N. Nikolaev
National Medical Research Center of Phthisiopulmonology and Infectious Diseases, Russian Ministry of Health
Russian Federation
Russian Federation
Nikolay N. Nikolaev, Candidate of Medical Sciences, Neurosurgeon of Extrapulmonary Tuberculosis Department
Build. 2, 4 Dostoevskiy St., Moscow, 127994 Phone: + 7 (495) 681-11-66
V. A. Chumakov
National Medical Research Center of Phthisiopulmonology and Infectious Diseases, Russian Ministry of Health
Russian Federation
Russian Federation
Vladimir A. Chumakov, Head of Extrapulmonary Tuberculosis Department, Orthopedist, Neurosurgeon
Build. 2, 4 Dostoevskiy St., Moscow, 127994 Phone: + 7 (495) 681-11-66
I. V. Golubenkov
National Medical Research Center of Phthisiopulmonology and Infectious Diseases, Russian Ministry of Health
Russian Federation
Russian Federation
Ilya V. Golubenkov, Head of Deparment, Anesthesiologist, Emergency Physician of Anesthesiology and Intensive Care Deparment with Intensive Care Wards
Build. 2, 4 Dostoevskiy St., Moscow, 127994 Phone: + 7 (495) 681-11-66
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Review
For citations:
Peretsmanas E.O., Bezzubov A.A., Nikolaev N.N., Chumakov V.A., Golubenkov I.V. Experience of Surgical Treatment of Tuberculous and Nonspecific Spondylitis with a Barrier Collagen Membrane to Stimulate Osteogenesis in the Site of Bone Block Formation. Tuberculosis and Lung Diseases. 2024;102(5):58-63. (In Russ.) https://doi.org/10.58838/2075-1230-2024-102-5-58-63
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