Official Journal of the Italian Society of Orthopaedics and Traumatology
Table 4 Operative and postoperative results
Case | Operation type | Approach | Fusion method | Operative time (min) | Blood loss (ml) | Causative organism | Antimicrobial therapy (months) | Follow-up (months) | Clinical outcome |
|---|---|---|---|---|---|---|---|---|---|
1 | Debridement and fusion | Posterior | Bone graft and screws | 90 | 450 | M. tuberculosis | Rifampicin + isoniazid (6) | 25 | Good |
2 | Debridement and sequestrectomy | Posterior | None | 50 | 300 | M. tuberculosis | Rifampicin + isoniazid (12a) | Lost | – |
3 | Debridement and fusion | Posterior and anterior | Bone graft | 110 | 500 | S. aureus | Clindamycin (3) | 18 | Good |
4 | Debridement | Posterior/posteriorb | None | 45/35 | 320/480 | M. tuberculosis | Rifampicin + isoniazid (6) | 6 | Poor |
5 | Debridement and fusion | Posterior | Bone graft and screws | 70 | 375 | S. aureus | Ampicillin–sulbactam (2) | 7 | Excellent |
6 | Debridement | Posterior | None | 30 | 175 | S. aureus | Flucloxacillin (2) | 8 | Poor |
7 | Debridement | Posterior and anterior | None | 60 | 1,000 | No organism | Ciprofloxacin (3) | 37 | Excellent |
8 | Debridement and fusion | Posterior and anterior | Bone graft with cage and screws | 130 | 600 | S. aureus | Clindamycin (3) | 90 | Excellent |
9 | Debridement and fusion | Posterior and anterior | Bone graft with cage and screws | 215 | 750 | S. aureus | Clindamycin (3) | 49 | Excellent |
10 | Debridement | Posterior | None | 60 | 190 | S. aureus | Cefuroxime (3) | 21 | Good |
11 | Debridement | Posterior | None | 15 | 70 | M. tuberculosis | Ciprofloxacin (4), ethambutol + rifampicin + isoniazid + pyrazinamide (6) | 86 | Excellent |
12 | Debridement | Posterior and anterior | None | 60 | 100 | S. aureus | Flucloxacillin (3) | 80 | Excellent |
13 | Debridement | Anterior | None | 45 | 300 | S. aureus | Ciprofloxacillin (3) | 61 | Fair |
14 | Debridement and fusion | Anterior | Bone graft with cage | 95 | 400 | S. aureus | Clindamycin (3) | 53 | Fair |
15 | Debridement and fusion | Anterior/anteriorb | Bone graft then bone graft with cage | 270/160 | 300/700 | E. faecalis | Flucloxacillin (3) | 42 | Poor |
16 | Debridement and fusion | Anterior | Bone graft with cage | 100 | 100 | S. aureus | Clindamycin (3) | 15 | Excellent |
17 | Debridement and fusion | Anterior | Bone graft | 30 | 200 | No organism | Ciprofloxacin (3) | 8 | Excellent |
18 | Debridement | Anterior | None | 80 | 250 | S. aureus | Clindamycin (2a) | Died | – |
19 | Debridement | Posterior | None | 10 | 50 | No organism | Flucloxacillin (2.5) | 36 | Fair |
20 | Debridement and fusion | Posterior | Bone graft | 95 | 300 | M. tuberculosis | Nitrofurantoin + rifampicin + isoniazid (6) | 9 | Poor |
21 | Debridement | Posterior and anterior | None | 130 | 500 | S. aureus | Flucloxacillin (0.5) | 21 | Good |
22 | Debridement and fusion | Posterior and anterior | Bone graft with screws | 185 | 200 | No organism | Clindamycin (3) | 7 | Good |