Spondylodiscitis Endoscopic Treatment

Nowadays, endoscopic approaches are emerging as an alternative. However, until now, only small-scale studies exist. Being so, Abreu et al. carried out the first systematic review on spondylodiscitis endoscopic debridement indications, technique details, and outcomes.

Search for all English written original studies approaching the spondylodiscitis endoscopic treatment was performed using PubMed and EBSCO host. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed, and a pre-specified protocol was registered at PROSPERO (CRD42020183657).

Fourteen studies involving 342 participants were included for analysis. Data overall quality was fair. Indications for the endoscopic approach were poorly defined. The most consensual indication was refractory infection to conservative treatment. Spinal instability or neurological deficits were common exclusion criteria. All authors described similar techniques, and despite the frequent severe co-morbidities, procedure morbidity was low. Re-interventions were common. Microorganism identification varied from 54.2 to 90.4%. Treatment failure among studies ranged from 0 to 33%. Pain, functional status, and neurological deficits had satisfactory improvement after procedures.

The endoscopic debridement of spondylodiscitis seems to be an effective and safe approach for refractory spondylodiscitis. A novel approach with initial endoscopic infection debulking and antibiotic therapy could improve the success of spondylodiscitis treatment ¹⁾.

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2: Wang C, Zhang L, Zhang H, Xu D, Ma X. Sequential endoscopic and robot- assisted surgical solutions for a rare fungal spondylodiscitis, secondary lumbar spinal stenosis, and subsequent discal pseudocyst causing acute cauda equina syndrome: a case report. BMC Surg. 2022 Jan 29;22(1):34. doi: 10.1186/s12893-022-01493-3. PMID: 35090437; PMCID: PMC8800316.

3: Chen J, Xuan T, Lu Y, Lin X, Lv Z, Chen M. Outcome of one-stage percutaneous endoscopic debridement and lavage combined with percutaneous pedicle screw fixation for lumbar pyogenic spondylodiscitis. J Orthop Surg (Hong Kong). 2021 Sep-Dec;29(3):23094990211065579. doi: 10.1177/23094990211065579. PMID: 34911406.

4: Setoue T, Nakamura JI, Hara J. The Limitation of Endoscopic Surgery Using the Full Endoscopic Discectomy System for the Treatment of Destructive Stage Pyogenic Spondylodiscitis: A Case Series. Minim Invasive Surg. 2021 Nov 25;2021:5582849. doi: 10.1155/2021/5582849. PMID: 34868679; PMCID: PMC8639270.

5: Luzarraga Aznar A, Mora Hervas I, Magret Descamps E, Rovira Negre R. Laparoscopic Colposacropexy Mesh Excision Secondary to Severe Spondylodiscitis. J Minim Invasive Gynecol. 2021 Nov;28(11):1816. doi: 10.1016/j.jmig.2021.08.029. Epub 2021 Sep 7. PMID: 34500066.

6: Tavares MA, Silva AR, Melo MG, Pacheco M, Coutinho N, Ambrósio A, Tapadinhas P. Conservative Management of Spondylodiscitis after Laparoscopic Sacral Colpopexy: A Case Report and Review of Literature. Rev Bras Ginecol Obstet. 2021 Jul;43(7):570-577. English. doi: 10.1055/s-0041-1735153. Epub 2021 Aug 30. PMID: 34461667.

7: Abulizi Y, Cai X, Xu T, Xun C, Sheng W, Gao L, Maimaiti M. Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis. J Vis Exp. 2021 May 23;(171). doi: 10.3791/61840. PMID: 34096906.

8: Sairyo K, Maeda T, Yamashita K, Tezuka F, Morimoto M, Yagi K, Kishima K, Sugiura K, Takeuchi M, Yamada Y, Takata Y, Sakai T. A new surgical strategy for the intractable chronic low back pain due to type 1 Modic change using transforaminal full-endoscopic disc cleaning (FEDC) surgery under the local anesthesia : A case report and literature review. J Med Invest. 2021;68(1.2):1-5. doi: 10.2152/jmi.68.1. PMID: 33994452.

9: Lang S, Loibl M, Neumann C, Alt V. Einsatz der videoassistierten Thorakoskopie bei der dorsoventralen Stabilisierung einer osteodestruktiven pyogenen Spondylodiszitis der Brustwirbelsäule [Use of video-assisted thoracoscopy in dorsoventral stabilization of osteodestructive pyogenic spondylodiscitis of the thoracic spine]. Unfallchirurg. 2021 Jun;124(6):505-511. German. doi: 10.1007/s00113-021-01000-y. Epub 2021 May 3. PMID: 33942151.

10: Stork AM, Giugale LE, Bradley MS, Zyczynski HM. Incidence of Sacral Osteomyelitis and Discitis After Minimally Invasive Sacrocolpopexy. Female Pelvic Med Reconstr Surg. 2021 Nov 1;27(11):672-675. doi: 10.1097/SPV.0000000000001033. PMID: 33534268.

11: Gibson RDS, Wagner R, Gibson JNA. Full endoscopic surgery for thoracic pathology: an assessment of supportive evidence. EFORT Open Rev. 2021 Jan 4;6(1):50-60. doi: 10.1302/2058-5241.6.200080. PMID: 33532086; PMCID: PMC7845567.

12: Nomura S, Toyama Y, Akatsuka J, Endo Y, Kimata R, Suzuki Y, Hamasaki T, Kimura G, Kondo Y. Prostatic abscess with infected aneurysms and spondylodiscitis after transrectal ultrasound-guided prostate biopsy: a case report and literature review. BMC Urol. 2021 Jan 21;21(1):11. doi: 10.1186/s12894-021-00780-0. PMID: 33478455; PMCID: PMC7818722.

13: Hanna G, Kim TT, Uddin SA, Ross L, Johnson JP. Video-assisted thoracoscopic image-guided spine surgery: evolution of 19 years of experience, from endoscopy to fully integrated 3D navigation. Neurosurg Focus. 2021 Jan;50(1):E8. doi: 10.3171/2020.10.FOCUS20792. PMID: 33386009.

14: Kuo MC, Tsai JC, Tsuang FY. Endoscopic discectomy and debridement for a patient with spondylodiscitis caused by <i>Granulicatella adiacens</i> following mitral valve repair: a case report. J Surg Case Rep. 2020 Nov 24;2020(11):rjaa407. doi: 10.1093/jscr/rjaa407. PMID: 33269068; PMCID: PMC7685394.

15: Vargas R, Patarroyo O, Cañadas R, Ovalle A. Intraductal papillary neoplasia of the bile duct (IPNB): case report and literature review. Rev Gastroenterol Peru. 2020 Jul-Sep;40(3):278-283. English. PMID: 33181817.

16: Ishihama Y, Sakai T, Manabe H, Tezuka F, Yamashita K, Takata Y, Maeda T, Sairyo K. Debridement for Infectious Spondylodiscitis in a 9-year-old Girl Using Full-Endoscopic Discectomy System : a Case Report and literature review. J Med Invest. 2020;67(3.4):351-344. doi: 10.2152/jmi.67.351. PMID: 33148914.

17: Chang KS, Sun LW, Cheng CY, Chang SW, Chen CM. Full Endoscopic Removal of Cervical Spinal Epidural Abscess: Case Report and Technical Note. Neurospine. 2020 Jul;17(Suppl 1):S160-S165. doi: 10.14245/ns.2040218.109. Epub 2020 Jul 31. PMID: 32746530; PMCID: PMC7410373.

18: Compton J, Yanik J, Hendrickson N, Bagrodia N, Nau P, Pugley AJ. Unstable Lumbar Spine Osteomyelitis Caused by Trans-Foraminal Migration of Laparoscopic Adjustable Gastric Band Connection Tubing: A Case Report. Iowa Orthop J. 2020;40(1):101-103. PMID: 32742215; PMCID: PMC7368515.

19: Yu CH. Full-endoscopic debridement and drainage treating spine infection and psoas muscle abscess. J Spine Surg. 2020 Jun;6(2):415-423. doi: 10.21037/jss.2020.01.04. PMID: 32656379; PMCID: PMC7340819.

20: Froiio C, Bernardi DT, Asti E, Bonavina L. Retroperitoneoscopic drainage of cryptogenic psoas abscess. BMJ Case Rep. 2020 Jul 8;13(7):e235579. doi: 10.1136/bcr-2020-235579. PMID: 32641307; PMCID: PMC7348476.

21: Doğan Durdağ G, Alemdaroğlu S, Durdağ E, Yüksel Şimşek S, Turunç T, Yetkinel S, Yılmaz Baran Ş, Çelik H. Lumbosacral discitis as a rare complication of laparoscopic sacrocolpopexy. Int Urogynecol J. 2020 Nov;31(11):2431-2433. doi: 10.1007/s00192-020-04331-3. Epub 2020 Jun 4. PMID: 32500164.

22: Bonaddio V, Herman Z, Armstrong J, Kepler C, Molter M. Vague neck pain following a gastrointestinal procedure: a rare case presentation of vertebral osteomyelitis and cervical epidural abscess. Spinal Cord Ser Cases. 2020 May 13;6(1):40. doi: 10.1038/s41394-020-0290-9. PMID: 32404877; PMCID: PMC7220930.

23: Merei F, Shapiro G, Abu Shakra I, Bickel A, Ganam S, Bez M, Kakiashvili E. A unusual case of multifocal pyogenic abscess formation following ERCP procedure. BMC Surg. 2020 May 6;20(1):92. doi: 10.1186/s12893-020-00759-y. PMID: 32375832; PMCID: PMC7203808.

24: Duan K, Qin Y, Ye J, Zhang W, Hu X, Zhou J, Gao L, Tang Y. Percutaneous endoscopic debridement with percutaneous pedicle screw fixation for lumbar pyogenic spondylodiscitis: a preliminary study. Int Orthop. 2020 Mar;44(3):495-502. doi: 10.1007/s00264-019-04456-1. Epub 2019 Dec 26. PMID: 31879810; PMCID: PMC7026210.

25: Kang T, Park SY, Lee SH, Park JH, Suh SW. Spinal epidural abscess successfully treated with biportal endoscopic spinal surgery. Medicine (Baltimore). 2019 Dec;98(50):e18231. doi: 10.1097/MD.0000000000018231. PMID: 31852084; PMCID: PMC6922448.

26: Lin CY, Chang CC, Chen YJ, Tsai CH, Tsou HK, Lin CS, Ho MW, Chen HT, Hsu HC. New Strategy for Minimally Invasive Endoscopic Surgery to Treat Infectious Spondylodiscitis in the Thoracolumbar Spine. Pain Physician. 2019 May;22(3):281-293. PMID: 31151336.

27: Lukassen JNM, Aalbers MW, Coppes MH, Groen RJM. Cervical spondylodiscitis following cricopharyngeal botulinium toxin injection. Eur Ann Otorhinolaryngol Head Neck Dis. 2019 Sep;136(4):313-316. doi: 10.1016/j.anorl.2018.03.010. Epub 2019 Mar 23. PMID: 30910364.

28: Lin GX, Kim JS, Sharma S, Sun LW, Wu HH, Chang KS, Chen YC, Chen CM. Full Endoscopic Discectomy, Debridement, and Drainage for High-Risk Patients with Spondylodiscitis. World Neurosurg. 2019 Jul;127:e202-e211. doi: 10.1016/j.wneu.2019.02.206. Epub 2019 Mar 14. PMID: 30878748.

29: Kolcun JPG, Wang MY. Endoscopic Treatment of Thoracic Discitis with Robotic Access: A Case Report Merging Two Cutting-Edge Technologies. World Neurosurg. 2019 Jun;126:418-422. doi: 10.1016/j.wneu.2019.03.036. Epub 2019 Mar 12. PMID: 30872196.

30: Wang X, Zhou S, Bian Z, Li M, Jiang W, Hou C, Zhu L. Unilateral percutaneous endoscopic debridement and drainage for lumbar infectious spondylitis. J Orthop Surg Res. 2018 Dec 3;13(1):306. doi: 10.1186/s13018-018-1009-5. PMID: 30509282; PMCID: PMC6276136.

31: Gungor Ugurlucan F, Yasa C, Demir O, Basaran S, Bakir B, Yalcin O. Long-Term Follow-Up of a Patient with Spondylodiscitis after Laparoscopic Sacrocolpopexy: An Unusual Complication with a Review of the Literature. Urol Int. 2019;103(3):364-368. doi: 10.1159/000494370. Epub 2018 Nov 28. PMID: 30485841.

32: Boyd B, Pratt T, Mishra K. Fungal Lumbosacral Osteomyelitis After Robotic- Assisted Laparoscopic Sacrocolpopexy. Female Pelvic Med Reconstr Surg. 2018 Nov/Dec;24(6):e46-e48. doi: 10.1097/SPV.0000000000000612. PMID: 30059439.

33: Nubukpo-Guménu AA, Ségbédji FKK, Rué M, Destandau J. Endospine Surgery Complications in Lumbar Herniated Disc. World Neurosurg. 2018 Nov;119:e78-e79. doi: 10.1016/j.wneu.2018.07.013. Epub 2018 Jul 17. PMID: 30030188.

34: Wu XD, Chen Y, Yu WC, Liu Y, Cao P, Tian Y, Wang XW, Chen HJ, Ye XJ, Yuan W, Yeung A. Effectiveness of Bi-Needle Technique (Hybrid Yeung Endoscopic Spine System/Transforaminal Endoscopic Spine System) for Percutaneous Endoscopic Lumbar Discectomy. World Neurosurg. 2018 Nov;119:e53-e59. doi: 10.1016/j.wneu.2018.06.220. Epub 2018 Jul 6. PMID: 29981910.

35: Ying J, Pei S, Su L, Wen T, Lv Y, Ruan D. Successful Conservative Management of Delayed Cervical Spondylodiscitis with Epidural Abscess Caused by Esophageal Diverticulitis: A Case Report and Review of Literature. World Neurosurg. 2018 Oct;118:250-260. doi: 10.1016/j.wneu.2018.05.207. Epub 2018 Jun 5. PMID: 29883818.

36: Park MK, Cho DC, Bang WS, Kim KT, Sung JK. Recurrent esophageal perforation after anterior cervical spine surgery: case report. Eur Spine J. 2018 Jul;27(Suppl 3):515-519. doi: 10.1007/s00586-018-5540-1. Epub 2018 Mar 2. PMID: 29500543.

37: Youn MS, Shin JK, Goh TS, Lee JS. Minimally invasive percutaneous endoscopic treatment for acute pyogenic spondylodiscitis following vertebroplasty. Eur Spine J. 2018 Jul;27(Suppl 3):458-464. doi: 10.1007/s00586-018-5478-3. Epub 2018 Jan 22. PMID: 29356984.

38: Viezens L, Reer P, Strahl A, Weiser L, Schroeder M, Beyerlein J, Schaefer C. Safety and Efficacy of Single-Stage versus 2-Stage Spinal Fusion via Posterior Instrumentation and Anterior Thoracoscopy: A Retrospective Matched-Pair Cohort Study with 247 Consecutive Patients. World Neurosurg. 2018 Jan;109:e739-e747. doi: 10.1016/j.wneu.2017.10.074. Epub 2017 Nov 13. PMID: 29079258.

39: Lallemant B, Moriniere S, Ceruse P, Lebalch M, Aubry K, Hans S, Dolivet G, Malard O, Bonduelle Q, Vergez S. Transoral robotic surgery for squamous cell carcinomas of the posterior pharyngeal wall. Eur Arch Otorhinolaryngol. 2017 Dec;274(12):4211-4216. doi: 10.1007/s00405-017-4771-9. Epub 2017 Oct 14. PMID: 29032418.

40: Choi EJ, Kim SY, Kim HG, Shon HS, Kim TK, Kim KH. Percutaneous Endoscopic Debridement and Drainage with Four Different Approach Methods for the Treatment of Spinal Infection. Pain Physician. 2017 Sep;20(6):E933-E940. PMID: 28934797.

41: Gupta P, Ehlert M, Bartley J, Gilleran J, Killinger KA, Boura JA, Nagaraju P, Fischer M. Perioperative Outcomes, Complications, and Efficacy of Robotic- Assisted Prolapse Repair: A Single Institution Study of 196 Patients. Female Pelvic Med Reconstr Surg. 2018 Nov/Dec;24(6):408-411. doi: 10.1097/SPV.0000000000000472. PMID: 28922303.

42: Yoshimura S, Mori K, Kawasaki K, Tanabe A, Aikou S, Yagi K, Nishida M, Yamashita H, Nomura S, Fukushima M, Yamashita H, Yamauchi Y, Seto Y. A surgical case of radiotherapy induced esophageal perforation accompanying pyogenic spondylodiscitis: a case report. Surg Case Rep. 2017 Aug 31;3(1):98. doi: 10.1186/s40792-017-0368-1. PMID: 28861738; PMCID: PMC5578948.

43: Zacharakis D, Grigoriadis T, Bourgioti C, Pitsouni E, Protopapas A, Moulopoulos LA, Athanasiou S. Pre- and postoperative magnetic resonance imaging (MRI) findings in patients treated with laparoscopic sacrocolpopexy. Is it a safe procedure for all patients? Neurourol Urodyn. 2018 Jan;37(1):316-321. doi: 10.1002/nau.23294. Epub 2017 May 8. PMID: 28481045.

44: Phan K, Xu J, Schultz K, Alvi MA, Lu VM, Kerezoudis P, Maloney PR, Murphy ME, Mobbs RJ, Bydon M. Full-endoscopic versus micro-endoscopic and open discectomy: A systematic review and meta-analysis of outcomes and complications. Clin Neurol Neurosurg. 2017 Mar;154:1-12. doi: 10.1016/j.clineuro.2017.01.003. Epub 2017 Jan 8. PMID: 28086154.

45: Fridrich F, Báča V, Džupa V. Infekční zánět symfýzy (symphysitis pubis purulenta): pět kazuistik a přehled literatury [Infectious Inflammation of Pubic Symphysis (Symphysitis Pubis Purulenta): Five Case Reports and Literature View]. Acta Chir Orthop Traumatol Cech. 2016;83(6):411-417. Czech. PMID: 28026738.

46: Gotecha S, Ranade D, Patil SV, Chugh A, Kotecha M, Sharma S, Punia P. The role of transforaminal percutaneous endoscopic discectomy in lumbar disc herniations. J Craniovertebr Junction Spine. 2016 Oct-Dec;7(4):217-223. doi: 10.4103/0974-8237.193267. PMID: 27891030; PMCID: PMC5111322.

47: Ollig K, Mordasini L, Strahm C, Schmid HP, Abt D. Wie lautet Ihre Diagnose? Praxis (Bern 1994). 2016 Aug;105(17):1003-6. German. doi: 10.1024/1661-8157/a002451. PMID: 27560813.

48: Giger A, Yusuf E, Manuel O, Clerc O, Trampuz A. Polymicrobial vertebral osteomyelitis after oesophageal biopsy: a case report. BMC Infect Dis. 2016 Mar 31;16:141. doi: 10.1186/s12879-016-1471-9. PMID: 27036910; PMCID: PMC4815082.

49: D'Souza JN, Luginbuhl AJ, Goldman RA, Heller JE, Curry JM, Cognetti DM. Cervical Spine Spondylodiscitis After Esophageal Dilation in Patients With a History of Laryngectomy or Pharyngectomy and Pharyngeal Irradiation. JAMA Otolaryngol Head Neck Surg. 2016 May 1;142(5):467-71. doi: 10.1001/jamaoto.2015.3038. PMID: 27010455.

50: Raus I, Tatar S, Coroiu RE. Diagnostic use of magnetic resonance imaging (MRI) of a cervical epidural abscess and spondylodiscitis in an infant - case report. Clujul Med. 2015;88(4):555-9. doi: 10.15386/cjmed-460. Epub 2015 Nov 15. PMID: 26733756; PMCID: PMC4689251.

51: Young A, Tekes A, Huisman TA, Bosemani T. Spondylodiscitis associated with button battery ingestion: prompt evaluation with MRI. Neuroradiol J. 2015 Oct;28(5):504-7. doi: 10.1177/1971400915611142. Epub 2015 Oct 12. PMID: 26459202; PMCID: PMC4757219.

52: Chen HC, Huang TL, Chen YJ, Tsou HK, Lin WC, Hung CH, Tsai CH, Hsu HC, Chen HT. A Minimally Invasive Endoscopic Surgery for Infectious Spondylodiscitis of the Thoracic and Upper Lumbar Spine in Immunocompromised Patients. Biomed Res Int. 2015;2015:780451. doi: 10.1155/2015/780451. Epub 2015 Jul 26. PMID: 26273644; PMCID: PMC4529934.

53: Kdous M, Elhouda Kraiem N, Zhioua F, Ferchiou M. Spondylodiscite infectieuse après promontofixation cœlioscopique par agrafes [Pyogenic spondylodiscitis after laparoscopic sacral colpopexy with staples]. Gynecol Obstet Fertil. 2015 Jun;43(6):478-80. French. doi: 10.1016/j.gyobfe.2015.03.013. Epub 2015 Apr 14. PMID: 25881905.

54: Hou T, Zhou Q, Dai F, Luo F, He Q, Zhang J, Xu J. Repeated microendoscopic discectomy for recurrent lumbar disk herniation. Clinics (Sao Paulo). 2015 Feb;70(2):120-5. doi: 10.6061/clinics/2015(02)09. PMID: 25789521; PMCID: PMC4351309.

55: Vujovic Z, Cuarana E, Campbell KL, Valentine N, Koch S, Ziyaie D. Lumbosacral discitis following laparoscopic ventral mesh rectopexy: a rare but potentially serious complication. Tech Coloproctol. 2015 Apr;19(4):263-5. doi: 10.1007/s10151-015-1279-4. Epub 2015 Feb 28. PMID: 25720459.

56: Stenklev NC, Rusten H, Müller K, Hennig R, Eggen T, Wikran G. En kvinne i 50-årene med nakkesmerter og forhøyet senkningsreaksjon [A woman in her fifties with neck pain and increased sedimentation rate]. Tidsskr Nor Laegeforen. 2015 Feb 24;135(4):341-3. Norwegian. doi: 10.4045/tidsskr.14.0943. PMID: 25707659.

57: Apostolis CA, Heiselman C. Sacral osteomyelitis after laparoscopic sacral colpopexy performed after a recent dental extraction: a case report. Female Pelvic Med Reconstr Surg. 2014 Nov-Dec;20(6):e5-7. doi: 10.1097/SPV.0000000000000092. PMID: 25185618.

58: Verdú-López F, Vanaclocha-Vanaclocha V, Gozalbes-Esterelles L, Sánchez-Pardo M. Minimally invasive spine surgery in spinal infections. J Neurosurg Sci. 2014 Jun;58(2):45-56. PMID: 24819481.

59: Anand M, Tanouye SL, Gebhart JB. Vesicosacrofistulization after robotically assisted laparoscopic sacrocolpopexy. Female Pelvic Med Reconstr Surg. 2014 May- Jun;20(3):180-3. doi: 10.1097/SPV.0000000000000033. PMID: 24763162.

60: Kodama K, Takase Y, Motoi I, Mizuno H, Goshima K, Sawaguchi T. Retroperitoneoscopic drainage of bilateral psoas abscesses under intraoperative laparoscopic ultrasound guidance. Asian J Endosc Surg. 2014 May;7(2):179-81. doi: 10.1111/ases.12091. PMID: 24754884.

61: Yang SC, Fu TS, Chen HS, Kao YH, Yu SW, Tu YK. Minimally invasive endoscopic treatment for lumbar infectious spondylitis: a retrospective study in a tertiary referral center. BMC Musculoskelet Disord. 2014 Mar 27;15:105. doi: 10.1186/1471-2474-15-105. PMID: 24669940; PMCID: PMC3986884.

62: Verdú-López F, Beisse R. Situación actual de la cirugía toracoscópica del raquis torácico y lumbar. Parte 2: Tratamiento de la hernia de disco torácica, de las deformidades, de la patología tumoral e infecciosa, y miscelánea [Current status of thoracoscopic surgery for thoracic and lumbar spine. Part 2: treatment of the thoracic disc hernia, spinal deformities, spinal tumors, infections and miscellaneous]. Neurocirugia (Astur). 2014 Mar-Apr;25(2):62-72. Spanish. doi: 10.1016/j.neucir.2013.02.004. Epub 2014 Jan 20. PMID: 24456908.

63: Fu TS, Chen LH, Chen WJ. Minimally invasive percutaneous endoscopic discectomy and drainage for infectious spondylodiscitis. Biomed J. 2013 Jul- Aug;36(4):168-74. doi: 10.4103/2319-4170.112742. PMID: 23989311.

64: Iwata A, Ito M, Abumi K, Sudo H, Kotani Y, Shono Y, Minami A. Fungal spinal infection treated with percutaneous posterolateral endoscopic surgery. J Neurol Surg A Cent Eur Neurosurg. 2014 May;75(3):170-6. doi: 10.1055/s-0032-1329268. Epub 2013 Mar 19. PMID: 23512590.

65: Yadav YR, Parihar V, Namdev H, Agarwal M, Bhatele PR. Endoscopic interlaminar management of lumbar disc disease. J Neurol Surg A Cent Eur Neurosurg. 2013 Mar;74(2):77-81. doi: 10.1055/s-0032-1333127. Epub 2013 Feb 12. PMID: 23404555.

66: Radulovic D, Vujotic L. Cervical spinal epidural abscess after oesophagoscopy. Eur Spine J. 2013 May;22 Suppl 3(Suppl 3):S369-72. doi: 10.1007/s00586-012-2478-6. Epub 2012 Aug 24. PMID: 22918512; PMCID: PMC3641258.

67: Grimes CL, Tan-Kim J, Garfin SR, Nager CW. Sacral colpopexy followed by refractory Candida albicans osteomyelitis and discitis requiring extensive spinal surgery. Obstet Gynecol. 2012 Aug;120(2 Pt 2):464-468. doi: 10.1097/AOG.0b013e318256989e. PMID: 22825267.

68: Wang M, Zhou Y, Wang J, Zhang Z, Li C. A 10-year follow-up study on long- term clinical outcomes of lumbar microendoscopic discectomy. J Neurol Surg A Cent Eur Neurosurg. 2012 Aug;73(4):195-8. doi: 10.1055/s-0031-1297248. Epub 2012 May 3. PMID: 22825836.

69: Kaushal M, Sen R. Posterior endoscopic discectomy: Results in 300 patients. Indian J Orthop. 2012 Jan;46(1):81-5. doi: 10.4103/0019-5413.91640. PMID: 22345812; PMCID: PMC3270611.

70: Wen BT, Zhang XF, Wang Y, Xiao SH, Liu ZS, Liu BW, Zhang YG, Song J, Zhong YX, Sun JH. [Complication and treatment of the lumbar intervertebral disc herniation using percutaneous endoscopic lumbar discectomy]. Zhonghua Wai Ke Za Zhi. 2011 Dec;49(12):1091-5. Chinese. PMID: 22333449.

71: Ahn Y, Lee SH. Postoperative spondylodiscitis following transforaminal percutaneous endoscopic lumbar discectomy: clinical characteristics and preventive strategies. Br J Neurosurg. 2012 Aug;26(4):482-6. doi: 10.3109/02688697.2011.650739. Epub 2012 Feb 8. PMID: 22316067.

72: Cho JY, Lee SH, Lee HY. Prevention of development of postoperative dysesthesia in transforaminal percutaneous endoscopic lumbar discectomy for intracanalicular lumbar disc herniation: floating retraction technique. Minim Invasive Neurosurg. 2011 Oct;54(5-6):214-8. doi: 10.1055/s-0031-1287774. Epub 2012 Jan 27. PMID: 22287030.

73: Guerado E, Cerván AM. Surgical treatment of spondylodiscitis. An update. Int Orthop. 2012 Feb;36(2):413-20. doi: 10.1007/s00264-011-1441-1. Epub 2012 Jan 4. PMID: 22215365; PMCID: PMC3282859.

74: Zarghooni K, Röllinghoff M, Sobottke R, Eysel P. Treatment of spondylodiscitis. Int Orthop. 2012 Feb;36(2):405-11. doi: 10.1007/s00264-011-1425-1. Epub 2011 Dec 6. PMID: 22143315; PMCID: PMC3282845.

75: De Giacomo T, Francioni F, Diso D, Tarantino R, Anile M, Venuta F, Coloni GF. Anterior approach to the thoracic spine. Interact Cardiovasc Thorac Surg. 2011 May;12(5):692-5. doi: 10.1510/icvts.2010.257360. Epub 2011 Feb 8. PMID: 21303868.

76: Bui C, Ballester M, Chéreau E, Guillo E, Daraï E. Résultats fonctionnels et qualité de vie après double promontofixation cœlioscopique pour la cure du prolapsus génital [Functional results and quality of life of laparoscopic promontofixation in the cure of genital prolapse]. Gynecol Obstet Fertil. 2010 Oct;38(10):563-8. French. doi: 10.1016/j.gyobfe.2010.06.001. Epub 2010 Sep 22. PMID: 20864375.

77: Dalwai R, Menon KV, Kumar RJ. Pyogenic diskitis of the L5-S1 disk space following inadvertent placement of a sacrocolpopexy screw. Int J Gynaecol Obstet. 2010 Dec;111(3):268-9. doi: 10.1016/j.ijgo.2010.07.012. PMID: 20817173.

78: Nosseir SB, Kim YH, Lind LR, Winkler HA. Sacral osteomyelitis after robotically assisted laparoscopic sacral colpopexy. Obstet Gynecol. 2010 Aug;116 Suppl 2:513-515. doi: 10.1097/AOG.0b013e3181e10ea6. PMID: 20664437.

79: Draaisma WA, van Eijck MM, Vos J, Consten EC. Lumbar discitis after laparoscopic ventral rectopexy for rectal prolapse. Int J Colorectal Dis. 2011 Feb;26(2):255-6. doi: 10.1007/s00384-010-0971-0. Epub 2010 Jun 8. PMID: 20532532.

80: Jhala A, Mistry M. Endoscopic lumbar discectomy: Experience of first 100 cases. Indian J Orthop. 2010 Apr;44(2):184-90. doi: 10.4103/0019-5413.62051. PMID: 20419006; PMCID: PMC2856394.

81: Tan A, Wolfram S, Birmingham M, Dayes N, Garrow E, Zehtabchi S. Neck pain and stiffness in a toddler with history of button battery ingestion. J Emerg Med. 2011 Aug;41(2):157-60. doi: 10.1016/j.jemermed.2010.02.027. Epub 2010 Apr 17. PMID: 20399589.

82: Fu TS, Yang SC, Tsai TT, Chen LH, Lai PL, Niu CC, Chen WJ. Percutaneous endoscopic debridement and drainage in immunocompromised patients with complicated infectious spondylitis. Minim Invasive Ther Allied Technol. 2010;19(1):42-7. doi: 10.3109/13645700903384450. PMID: 20095897.

83: Ito M, Sudo H, Abumi K, Kotani Y, Takahata M, Fujita M, Minami A. Minimally invasive surgical treatment for tuberculous spondylodiscitis. Minim Invasive Neurosurg. 2009 Oct;52(5-6):250-3. doi: 10.1055/s-0029-1220685. Epub 2010 Jan 14. PMID: 20077368.

84: Choy DS, Hellinger J, Hellinger S, Tassi GP, Lee SH. 23rd Anniversary of Percutaneous Laser Disc Decompression (PLDD). Photomed Laser Surg. 2009 Aug;27(4):535-8. doi: 10.1089/pho.2009.2512. PMID: 19416003.

85: Descargues G, Bouzouita A, Grise P. Spondylodiscite après promontofixation coelioscopique : à propos d'un cas [Infectious spondylodiscitis after a laparoscopic sacrocolpopexy: about one case]. Gynecol Obstet Fertil. 2009 Feb;37(2):183-5. French. doi: 10.1016/j.gyobfe.2008.11.013. Epub 2009 Feb 4. PMID: 19195918.

86: Montes García C, Guzmán Lara J. Localización de forámenes lumbares con clavos guía en cadáver [Indentification of lumbar foramina with percutaneous pins. A cadaveric study]. Acta Ortop Mex. 2008 Jul-Aug;22(4):233-7. Spanish. PMID: 18979985.

87: Yang SC, Fu TS, Chen LH, Chen WJ, Tu YK. Identifying pathogens of spondylodiscitis: percutaneous endoscopy or CT-guided biopsy. Clin Orthop Relat Res. 2008 Dec;466(12):3086-92. doi: 10.1007/s11999-008-0441-y. Epub 2008 Aug 13. PMID: 18704611; PMCID: PMC2628233.

88: Korinth MC. Treatment of cervical degenerative disc disease - current status and trends. Zentralbl Neurochir. 2008 Aug;69(3):113-24. doi: 10.1055/s-2008-1081201. Epub 2008 Jul 29. PMID: 18666050.

89: Hoogland T, van den Brekel-Dijkstra K, Schubert M, Miklitz B. Endoscopic transforaminal discectomy for recurrent lumbar disc herniation: a prospective, cohort evaluation of 262 consecutive cases. Spine (Phila Pa 1976). 2008 Apr 20;33(9):973-8. doi: 10.1097/BRS.0b013e31816c8ade. PMID: 18427318.

90: Schmelz A, Kinzl L, Einsiedel T. Osteitis. Infektionen des Bewegungsapparates [Osteitis. Infections of the locomotive system]. Unfallchirurg. 2007 Dec;110(12):1039-58. German. doi: 10.1007/s00113-007-1379-3. PMID: 18064504.

91: Mecklenburg I, Probst A, Messmann H. Esophagospinal fistula with spondylodiscitis and meningitis after esophagectomy with gastric pull-up. J Gastrointest Surg. 2008 Feb;12(2):394-5. doi: 10.1007/s11605-007-0363-0. Epub 2007 Oct 23. PMID: 17955314.

92: Amini A, Beisse R, Schmidt MH. Thoracoscopic debridement and stabilization of pyogenic vertebral osteomyelitis. Surg Laparosc Endosc Percutan Tech. 2007 Aug;17(4):354-7. doi: 10.1097/SLE.0b013e31811ea2b9. PMID: 17710069.

93: Mei-Dan O, Mann G, Steinbacher G, Ballester SJ, Cugat RB, Alvarez PD. Septic arthritis with Staphylococcus lugdunensis following arthroscopic ACL revision with BPTB allograft. Knee Surg Sports Traumatol Arthrosc. 2008 Jan;16(1):15-8. doi: 10.1007/s00167-007-0379-8. Epub 2007 Aug 8. PMID: 17684731.

94: Korobova AN, Stepanian MA, Onopchenko EV, Kadin LA, Grigorian IuA. [Endoscopic microdiskectomy in the treatment of lumbar disk herniation]. Zh Vopr Neirokhir Im N N Burdenko. 2007 Apr-Jun;(2):32, 34-5. Russian. PMID: 17682224.

95: Ito M, Abumi K, Kotani Y, Kadoya K, Minami A. Clinical outcome of posterolateral endoscopic surgery for pyogenic spondylodiscitis: results of 15 patients with serious comorbid conditions. Spine (Phila Pa 1976). 2007 Jan 15;32(2):200-6. doi: 10.1097/01.brs.0000251645.58076.96. PMID: 17224815.

96: Kambin P, Gennarelli T, Hermantin F. Minimally invasive techniques in spinal surgery: current practice. Neurosurg Focus. 1998 Feb 15;4(2):e8. PMID: 17206771.

97: Marriott D, Stark D, Harkness J. Veillonella parvula discitis and secondary bacteremia: a rare infection complicating endoscopy and colonoscopy? J Clin Microbiol. 2007 Feb;45(2):672-4. doi: 10.1128/JCM.01633-06. Epub 2006 Nov 15. PMID: 17108070; PMCID: PMC1829049.

98: Pandak N, Tomić-Paradzik M, Krizanović B, Fornet-Sapcevski J. Vaznost sistemskih infekcija izazvanih bakterijom Streptococcus bovis [The importance of Streptococcus bovis systemic infections]. Lijec Vjesn. 2006 Jul- Aug;128(7-8):206-9. Croatian. PMID: 17087134.

99: Salliot C, Desplaces N, Boisrenoult P, Koeger AC, Beaufils P, Vincent V, Mamoudy P, Ziza JM. Arthritis due to Mycobacterium xenopi: a retrospective study of 7 cases in France. Clin Infect Dis. 2006 Oct 15;43(8):987-93. doi: 10.1086/507631. Epub 2006 Sep 1. PMID: 16983609.

100: Ozturk C, Tezer M, Mirzanli C, Erkal Bilen F, Aydogan M, Hamzaoglu A. An uncommon cause of paraplegia: Salmonella spondylodiskitis. J Spinal Cord Med. 2006;29(3):234-6. doi: 10.1080/10790268.2006.11753879. PMID: 16859227; PMCID: PMC1864813.

101: Ranjan A, Lath R. Microendoscopic discectomy for prolapsed lumbar intervertebral disc. Neurol India. 2006 Jun;54(2):190-4. PMID: 16804267.

102: Beisse R. Endoscopic surgery on the thoracolumbar junction of the spine. Eur Spine J. 2006 Jun;15(6):687-704. doi: 10.1007/s00586-005-0994-3. Epub 2006 Feb 11. PMID: 16474942; PMCID: PMC3489423.

103: Palmer S. Use of a tubular retractor system in microscopic lumbar discectomy: 1 year prospective results in 135 patients. Neurosurg Focus. 2002 Aug 15;13(2):E5. doi: 10.3171/foc.2002.13.2.6. PMID: 15916402.

104: Husain M, Jha DK, Agrawal S, Husain N, Gupta RK. Conical working tube: a special device for endoscopic surgery of herniated lumbar discs. J Neurosurg Spine. 2005 Mar;2(3):265-70. doi: 10.3171/spi.2005.2.3.0265. PMID: 15796350.

105: Wadie GM, Konefal SH, Dias MA, McLaughlin MR. Cervical spondylodiscitis from an ingested pin: a case report. J Pediatr Surg. 2005 Mar;40(3):593-6. doi: 10.1016/j.jpedsurg.2004.11.023. PMID: 15793746.

106: Müller M, Burger C, Andermahr J, Mader K, Rangger C. Spondylodiszitis nach perioperativem Periduralkatheter [Spondylodiscitis after perioperative peridural catheter]. Anaesthesist. 2004 Dec;53(12):1189-94. German. doi: 10.1007/s00101-004-0764-3. PMID: 15597159.

107: Elsaghir H. Endoscopic medial parascapular approach to the thoracic spine. Surg Endosc. 2005 Mar;19(3):389-92. doi: 10.1007/s00464-004-9119-z. Epub 2004 Dec 2. PMID: 15573238.

108: Haufe SM, Mork AR. Complications associated with cervical endoscopic discectomy with the holmium laser. J Clin Laser Med Surg. 2004 Feb;22(1):57-8. doi: 10.1089/104454704773660985. PMID: 15117488.

109: Destandau J. Aspects techniques de la chirurgie endoscopique des hernies discales foraminales lombaires. A propos de 191 cas [Technical features of endoscopic surgery for lumbar disc herniation: 191 patients]. Neurochirurgie. 2004 Mar;50(1):6-10. French. doi: 10.1016/s0028-3770(04)98300-2. PMID: 15097915.

110: Guehring T, Herrmann MJ, Kiessling F. Septisch abszedierende Pneumonie mit ossären und hepatischen Absiedlungen verursacht durch Streptokokkus intermedius [Septic abscess-forming pneumonia with osseous and hepatic involvement caused by Streptococcus intermedius]. Rofo. 2004 Mar;176(3):418-20. German. doi: 10.1055/s-2004-812732. PMID: 15026958.

111: Boukerrou M, Orazi G, Nayama M, Boodhun R, Crépin G, Cosson M. Technique de la promontofixation: suspension au promontoire par fils ou Tackers? [Promontofixation procedure: use of non-absorbable sutures or Tackers?]. J Gynecol Obstet Biol Reprod (Paris). 2003 Oct;32(6):524-8. French. PMID: 14593297.

112: Kapoor B, Toms A, Hooper P, Fraser AM, Cox CW. Infective lumbar discitis following laparascopic sacrocolpopexy. J R Coll Surg Edinb. 2002 Oct;47(5):709-10. PMID: 12463713.

113: Stramandinoli E, Ayache S, de la Roche Saint Andre G, Strunski V. Spondylodiscite cervicale. Une complication rare des implants phonatoires [Cervical spondylodiscitis: a rare complication of phonatory implants]. Ann Otolaryngol Chir Cervicofac. 2001 Dec;118(6):382-5. French. PMID: 11908341.

114: Cosson M, Narducci F, Querleu D, Crépin G. Utilisation expérimentale de matériel par coelioscopie: à propos d'une observation de spondylodiscite après promontofixation coelioscopique par Taker [Experimental use of laparoscopic material: report of a case of spondylodiscitis after laparoscopic sacropexy with Taker]. Ann Chir. 2001 Jul;126(6):554-6. French. doi: 10.1016/s0003-3944(01)00554-5. PMID: 11486539.

115: Knight MT, Ellison DR, Goswami A, Hillier VF. Review of safety in endoscopic laser foraminoplasty for the management of back pain. J Clin Laser Med Surg. 2001 Jun;19(3):147-57. doi: 10.1089/10445470152927982. PMID: 11469307.

116: Corpataux JM, Halkic N, Wettstein M, Dusmet M. The role of laparoscopic biopsies in lumbar spondylodiscitis. Surg Endosc. 2000 Nov;14(11):1086. doi: 10.1007/s004640000124. Epub 2000 Aug 29. PMID: 11285529.

117: Koh YD, Kim JO, Choi CH, An HS. Pyogenic spondylitis in an S1-S2 immobile segment. Spine (Phila Pa 1976). 2001 Mar 1;26(5):588-9. doi: 10.1097/00007632-200103010-00028. PMID: 11242391.

118: Corpataux JM, Halkic N, Wettstein M, Dusmet M. The role of laparoscopic biopsies in lumbar spondylodiscitis. Surg Laparosc Endosc Percutan Tech. 2000 Dec;10(6):417-9. PMID: 11147923.

119: Hovorka I, de Peretti F, Damon F, Arcamone H, Argenson C. Five years' experience of the retroperitoneal lumbar and thoracolumbar surgery. Eur Spine J. 2000 Feb;9 Suppl 1(Suppl 1):S30-4. doi: 10.1007/pl00010019. PMID: 10766055; PMCID: PMC3611430.

120: Neiger R, Gaschen F, Jaggy A. Gastric mucosal lesions in dogs with acute intervertebral disc disease: characterization and effects of omeprazole or misoprostol. J Vet Intern Med. 2000 Jan-Feb;14(1):33-6. doi: 10.1892/0891-6640(2000)014<0033:gmlidw>2.3.co;2. PMID: 10668814.

121: Huang TJ, Hsu RW, Sum CW, Liu HP. Complications in thoracoscopic spinal surgery: a study of 90 consecutive patients. Surg Endosc. 1999 Apr;13(4):346-50. doi: 10.1007/s004649900987. PMID: 10094745.

122: Destandau J. A special device for endoscopic surgery of lumbar disc herniation. Neurol Res. 1999 Jan;21(1):39-42. doi: 10.1080/01616412.1999.11740889. PMID: 10048052.

123: Roselli R, Iacoangeli M, Pompucci A, Trignani R, Restuccia D, Di Lazzaro V, Scerrati M. Anterior cervical epidural abscess treated by endoscopy-assisted minimally invasive microsurgery via posterior approach. Minim Invasive Neurosurg. 1998 Sep;41(3):161-5. doi: 10.1055/s-2008-1052034. PMID: 9802041.

124: Molinier S, Paris JF, Brisou P, Amah Y, Morand JJ, Alla P, Carli P. Deux observations d'infections iatrogènes à streptocoques oraux: méningite et spondylodiscite [2 cases of iatrogenic oral streptococcal infection: meningitis and spondylodiscitis]. Rev Med Interne. 1998 Aug;19(8):568-70. French. doi: 10.1016/s0248-8663(99)80025-3. PMID: 9775073.

125: Hackstein H, Mohl W, Püschel W, Stallmach A, Zeitz M. Diclofenac- assoziierte akute cholestatische Hepatitis [Diclofenac-associated acute cholestatis hepatitis]. Z Gastroenterol. 1998 May;36(5):385-9. German. PMID: 9654706.

126: Ditsworth DA. Endoscopic transforaminal lumbar discectomy and reconfiguration: a postero-lateral approach into the spinal canal. Surg Neurol. 1998 Jun;49(6):588-97; discussion 597-8. doi: 10.1016/s0090-3019(98)00004-4. PMID: 9637618.

127: Tan HL, McMurrick PJ, Merriman TE, Torode IP. Thoracoscopic biopsy of a pathological vertebral body. Aust N Z J Surg. 1994 Oct;64(10):726-8. doi: 10.1111/j.1445-2197.1994.tb02067.x. PMID: 7945075.