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Percutaneous transpedicular management of discitis
S Arya1, W N Crow, A G Hadjipaviou
1Department of Radiology, University of Texas Medical Branch, Galveston 77555, USA.
Journal of Vascular and Interventional Radiology : JVIR
|November 1, 1996
Summary
Percutaneous transpedicular biopsy and debridement effectively diagnose and manage discitis. This minimally invasive technique offers significant pain relief and avoids further surgery in many patients with spinal infections.
Area of Science:
- Spinal surgery
- Infectious disease
- Minimally invasive procedures
Background:
- Discitis, an infection of the intervertebral disc, requires accurate diagnosis and effective management.
- Traditional diagnostic and treatment methods for discitis can be invasive.
Purpose of the Study:
- To present the percutaneous transpedicular biopsy and debridement technique for diagnosing and managing discitis.
- To evaluate the efficacy of this minimally invasive approach.
Main Methods:
- Fifteen patients with suspected discitis underwent percutaneous transpedicular disc biopsy under local anesthesia and fluoroscopic guidance.
- Debridement of the infected disc was performed concurrently.
- Surgical vacuum drains were used for persistent drainage.
Main Results:
- Percutaneous transpedicular biopsy and debridement were performed on 15 patients.
- Twelve patients underwent percutaneous discectomy, with 8 experiencing immediate symptom improvement.
- Six patients had positive cultures, aiding diagnosis.
Conclusions:
- Percutaneous transpedicular biopsy is effective for tissue retrieval and diagnosing discitis.
- Debridement can be definitive in selected cases with antibiotic therapy.
- Advanced cases with epidural extension or vertebral destruction require open surgical intervention.