Challenges and limitations of the existing scoring systems for postoperative outcomes in thoracolumbar pyogenic spondylitis: a multicenter retrospective cohort study
Existing scoring systems showed limited ability to predict postoperative outcomes in patients with thoracolumbar pyogenic spondylitis treated with minimally invasive posterior fixation. BSDS grading demonstrated some utility, with 22% of high-risk patients experiencing postoperative infection control failure and implant failure, highlighting the need for careful treatment planning.
Authors
- Hiroshi Kumagai (ORCID: https://orcid.org/0000-0002-0066-913X)
- Yosuke Shibao (ORCID: https://orcid.org/0000-0002-5789-993X)
- Kotaro Sakashita (ORCID: https://orcid.org/0000-0002-3662-2077)
- Takahiro Sunami
- Kengo Fujii (ORCID: https://orcid.org/0000-0003-4450-0819)
- Yosuke Ogata (ORCID: https://orcid.org/0000-0001-8898-534X)
- Masafumi Uesugi (ORCID: https://orcid.org/0000-0002-5335-7148)
- Yusuke Setojima
- Shun Okuwaki (ORCID: https://orcid.org/0000-0002-9614-5399)
- Itsuo Shiina (ORCID: https://orcid.org/0000-0001-5892-2057)
- Katsuya Nagashima (ORCID: https://orcid.org/0000-0002-4209-6990)
- Yosuke Takeuchi (ORCID: https://orcid.org/0000-0001-6487-4610)
- Toru Funayama (ORCID: https://orcid.org/0000-0002-7325-4357)
- Hisanori Gamada (ORCID: https://orcid.org/0000-0002-7860-7094)
- Kaishi Ogawa
- Masaki Tatsumura (ORCID: https://orcid.org/0000-0002-3679-9438)
- Takane Nakagawa
- Masao Koda
Institutions
- University of Tsukuba (JP)
- National Hospital Organization Mito Medical Center (JP)
- Ogori Daiichi General Hospital (JP)
- Showa General Hospital (JP)
- University of Tsukuba Hospital (JP)
- Tokyo Medical University Ibaraki Medical Center (JP)
- Tsukuba Medical Center Hospital (JP)
- Kinan Hospital (JP)
Publication Details
- Journal
- European Spine Journal
- Published
- 2025-05-17
- DOI
- https://doi.org/10.1007/s00586-025-08933-7
- Primary Topic
- Infectious Diseases and Tuberculosis
- Type
- article
- Field-Weighted Citation Impact
- 0.00