journal article·2025-02-12Open access

Shifting Paradigms in Spinal Infection Management: The Rising Role of Spine Endoscopy—A Systematic Review and Case Series Analysis

Kajetan Łątka, Waldemar Kołodziej, Kacper Domisiewicz, Dawid Pawuś, Tomasz Klepinowski, Masato Tanaka, Beata Łabuz-Roszak, Dariusz Łątka

Applied Sciences· Volume 15· Issue 4

Abstract

The management of spinal infections, such as spondylodiscitis, remains a complex challenge. With advancements in technology, spinal endoscopy has emerged as a promising minimally invasive approach. This systematic review and case series aims to evaluate the efficacy of endoscopic techniques in treating primary and post-operative spinal infections. A comprehensive literature review was conducted using databases such as PubMed, MEDLINE, and Cochrane Library, focusing on studies from 2000 to 2023. Our case series included patients treated with endoscopy for spinal infections in our institution between 2020 and 2023. The findings suggest that endoscopic techniques are associated with reduced tissue trauma, shorter hospital stays, and faster recovery, while maintaining comparable clinical outcomes to traditional open surgery. Despite the relatively high pathogen identification rates and favorable clinical outcomes, complications such as residual infection and the need for re-operations were noted. These results emphasize the need for further research to optimize endoscopic procedures in spinal infection management, potentially paving the way for this technique to become a standard treatment option.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Infectious Diseases and Tuberculosis · Spinal Dysraphism and Malformations · Head and Neck Surgical Oncology

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Neurosurgery, St. Hedwig’s Regional Specialist Hospital, 45-221 Opole, Poland

Department of Neurosurgery, University Hospital, Institute of Medical Sciences, University of Opole, 45-040 Opole, Poland

Department of Neurology, St. Hedwig’s Regional Specialist Hospital, Institute of Medical Sciences, University of Opole, 45-040 Opole, Poland

Faculty of Electrical Engineering, Automatic Control and Informatics, Opole University of Technology, 45-758 Opole, Poland

Department of Neurosurgery, Pomeranian Medical University Hospital No. 1, Unii Lubelskiej 1, 71-252 Szczecin, Poland

Department of Orthopedic Surgery, Okayama Rosai Hospital, Okayama 702-8055, Japan

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