[Surgical treatment of hematogenic spinal osteomyelitis using extra-focal instrumental fixation]

A total of 78 cases with acute hematogenic vertebral osteomyelitis are analyzed. Diagnostic errors at the prehospital and hospital stages are specified in 42 cases (53.8 percent), that resulted in late start of adequate treatment. Preoperative antibacterial therapy was carried out 1 to 1.5 months before surgery consisting in radical resection of the focus with replacement of the defect with autotransplant and extra-focal++ fixation with Byzov's apparatus. After surgery the patients started exercises on days 5-10. This treatment resulted in formation of osseous block at the site of vertebral body resection in 3-4 months in 30.8 percent of cases, in 5-6 months in 57.7 percent, and in 10-12 months in 11.5 percent of patients.