Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10553/42490
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dc.contributor.authorUrakov, Timur M.en_US
dc.contributor.authorCasabella, Amanda M.en_US
dc.contributor.authorLevene, Howard B.en_US
dc.date.accessioned2018-11-16T10:24:09Z-
dc.date.available2018-11-16T10:24:09Z-
dc.date.issued2016en_US
dc.identifier.issn1878-8750en_US
dc.identifier.otherWoS-
dc.identifier.urihttp://hdl.handle.net/10553/42490-
dc.description.abstractBackground Pyogenic spondylodiskitis is an infection of intervertebral disks and spinal vertebral bodies. Various minimally invasive approaches to the infected disk spaces/abscesses have been described for management of early stages of the infection. Patients with chronic occurrence present with extensive infection, neurologic deficits, and bone destruction. Such patients commonly have substantial medical comorbidities. Despite the increased risks of complications, they often are treated with open surgical approaches without minimally invasive options. We describe a bilateral transpedicular approach to vertebral body abscess in a chronically infected patient with intraoperative contiguous irrigation. Case Description We present 2 cases, a 58-year-old man and a 61-year-old man, both with a diagnosis of vertebral osteomyelitis. Images of lumbar spine showed epidural abscess and adjacent vertebral body destruction. Because of their poor clinical condition and chronicity of disease, these patients underwent percutaneous bilateral transpedicular approach. Conclusion Patients in poor health and with chronic vertebral osteomyelitis may benefit from minimally invasive percutaneous transpedicular drainage and irrigation of the abscess, representing a minimally invasive and effective treatment alternative for these patients.en_US
dc.languageengen_US
dc.relation.ispartofWorld Neurosurgeryen_US
dc.sourceWorld Neurosurgery [ISSN 1878-8750], v. 92, p. 583.e1-583.e5en_US
dc.subject32 Ciencias médicasen_US
dc.subject.otherAbscessen_US
dc.subject.otherChronicen_US
dc.subject.otherFluoroscopyen_US
dc.subject.otherMinimally invasiveen_US
dc.subject.otherOsteomyelitis/diskitisen_US
dc.subject.otherPercutaneousen_US
dc.subject.otherTranspedicularen_US
dc.titlePercutaneous drainage of chronic destructive lumbar osteomyelitis abscess via the use of bilateral transpedicular trocar accessen_US
dc.typeinfo:eu-repo/semantics/Articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.wneu.2016.05.076en_US
dc.identifier.scopus84990932689-
dc.identifier.isi000384160300104-
dc.contributor.authorscopusid57189319953-
dc.contributor.authorscopusid57191482687-
dc.contributor.authorscopusid13606210700-
dc.identifier.eissn1878-8769-
dc.description.lastpage583.e5en_US
dc.description.firstpage583.e1en_US
dc.relation.volume92en_US
dc.investigacionCiencias de la Saluden_US
dc.type2Artículoen_US
dc.contributor.daisngid3968398-
dc.contributor.daisngid7746161-
dc.contributor.daisngid835874-
dc.description.numberofpages5en_US
dc.utils.revisionen_US
dc.contributor.wosstandardWOS:Urakov, TM-
dc.contributor.wosstandardWOS:Casabella, AM-
dc.contributor.wosstandardWOS:Levene, HB-
dc.date.coverdateAgosto 2016en_US
dc.identifier.ulpgces
dc.description.sjr0,617
dc.description.jcr2,592
dc.description.sjrqQ2
dc.description.jcrqQ2
dc.description.scieSCIE
item.grantfulltextnone-
item.fulltextSin texto completo-
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