Ventral stabilization of the spine and regional antibacterial lymphotropic therapy in complex treatment of patients with spine hematogenous osteomyelitis

Abstract

The possibility of ventral stabilization used in combination with regional antibacterial lymphotropic therapy was assessed for treatment of patients with spine hematogenous osteomyelitis. The data of treatment of 42 patients with spine hematogenous osteomyelitis were studied. Patients were divided into 3 groups: 11 cases of sanative and reconstructive surgeries in a traditional way (group I), 10 clinical cases subjected to the traditional procedure of surgical treatment with regional antibacterial lymphotropic therapy (group II), 20 cases – sanative and reconstructive surgeries and additional ventral stabilization with “MACS” plate in combination with lymphotropic therapy (group III). The results of treatment were estimated by the dynamics of local kyphotic deformity, complication character and pain syndrome objectification. The use of ventral stabilization in combination with regional antibacterial lymphotropic therapy in addition to radical restorative surgery for spine hematogenous osteomyelitis enables to improve treatment results, accelerate patients’ rehabilitation, and reduce the period of in-patient hospital stay.