![]() ![]() We define refractory kyphosis as a change in segment Cobb angle of less than 10° from flexion to extension on dynamic X-rays 8, 9. Several surgical techniques are used in the treatment of cervical spine infections including the anterior approach, posterior approach, and combined anteroposterior approach 7.ĭespite all the above surgical techniques, treatment of refractory kyphotic cervical deformity is still a challenge. Complications including cervical kyphosis, loss of range of motion, spinal cord compression, nerve route compression, neurological deficits, and dysphagia may occur to the patient following cervical spine infections 4, 5.Īntibiotic therapy in cervical infection is advocated in the early stage of the disease and for patients without complications, while both medical and surgical treatment methods are adopted in the late stage of the disease and for patients with complications 6. The infection mainly involves the anterior column of the cervical spine and rarely attacks the posterior column. Cervical infection may result from pathogens that are hematogenously transferred from a distant diseased site or directly from the adjacent locus attacking the vertebrae and intervertebral discs. An incidence rate of 2 to 12 per 100,000 hospital admissions of cervical infection has been reported, but this incidence has doubled during the recent two decades 2, 3. Pyogenic spondylitis and tuberculosis spondylitis are among the reported infections of the cervical spine. ![]() Preoperative halo-traction followed by surgery is superior in kyphosis correction in the treatment of patients with cervical infections with refractory kyphosis.Ĭervical infections are uncommon disorders that represent 2–7% of all skeletal infections 1. No statistically significant differences between the two groups in terms of functional improvement, level of fusions, ESR and CRP. Between the two groups, we analyzed the kyphosis deformity correction, level of fusions, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), functional improvement by Neck disability index (NDI) score, and complications. ![]() Group A underwent preoperative halo-traction followed by surgery, while group B underwent surgery alone. Patients were divided into two groups, the traction group (A) and the non-traction group (B). We retrospectively reviewed 48 patients with cervical infection associated with refractory kyphosis who were treated in our spine department. This study investigated the role of halo-traction in the treatment of cervical infection patients associated with refractory kyphosis. But the use of halo-traction in the treatment of refractory cervical kyphosis secondary to infections has never been reported. To minimize surgical complications and staged procedures halo-traction is often used during deformity corrections. ![]()
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