Michael J W-P, Brunkwall J, Fätkenheuer G, Seifert H, Winnekendonk G, Zöller J E, Eysel P
Klinik und Poliklinik für Orthopädie der Universität zu Köln, Joseph-Stelzmann-Str. 9, 50924 Köln.
Unfallchirurg. 2007 Jan;110(1):86-8. doi: 10.1007/s00113-006-1173-7.
Operative treatment of tuberculous spondylodiscitis is still an important part of the treatment for lumbar spine instability. We report on a patient who suffered an extensive relapse with microbiological confirmation of tuberculous spondylodiscitis following operative spinal treatment for unspecific spondylodiscitis. X-Ray examination showed development of pronounced lumbar instability, which was first treated with the aid of an external fixateur and later by means of a doubled fibular bone graft with a vascularised stem with no dorsal instrumentation, which led to bony consolidation.