Management
In a comparative study of 79 patients, the posterior-only (P) group experienced significantly lower estimated blood loss and operation time compared to the combined antero-posterior (AP) group [PMID:32453237].
Patients treated with the posterior-only approach reported significantly lower visual analogue scale scores for back pain postoperatively compared to those treated with the combined approach [PMID:32453237].
PSAD was evaluated in a retrospective case series of patients with infective spondylodiscitis and associated abscesses treated between 1998 and 2014, showing promising clinical outcomes [PMID:29496623].
Complications
The study found that the corrected kyphotic angle postoperatively was significantly less pronounced in the posterior-only group (5.3°) compared to the combined approach group (12.8°) [PMID:32453237].
Prognosis & Follow-up
Patients were evaluated for functional outcomes using the modified MacNab criteria, indicating the method's utility in assessing post-treatment mobility and recovery [PMID:29496623].
References
1 Choi SH, Koo JW, Hur JM, Kang CN. A New Surgical Strategy for Infective Spondylodiscitis: Comparison Between the Combined Antero-Posterior and Posterior-Only Approaches. Spine 2020. link 2 Matsubara T, Yamada K, Sato K, Gotoh M, Nagata K, Shiba N. Clinical outcomes of percutaneous suction aspiration and drainage for the treatment of infective spondylodiscitis with paravertebral or epidural abscess. The spine journal : official journal of the North American Spine Society 2018. link
2 papers cited of 4 indexed.