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Surgical treatment of infectious spondylitis using bilateral barrier collagen membrane: A clinical case study

https://doi.org/10/17238/issn2226-2016.2025.3.21-27

Abstract

Introduction. Non-specific inflammatory lesions of the spine with impaired bearing capacity and progressive deformity of the spinal column remain a rather severe pathology leading to patient disability, high risk of repeated surgical interventions in case of incorrectly chosen tactics of treatment.

Purpose of the study. To describe the clinical observation of a patient suffering from nonspecific spondylitis of the lumbar spine who underwent surgical treatment in the scope of anterior spondylodesis with a titanium cylindrical mesh implant using an osteoconductor and bilateral resorbable collagen membrane according to the original patented technique.

Materials and Methods. We presented a case of successful surgical treatment of nonspecific spondylitis of the L2-L3 vertebrae with impaired spinal column support. Surgical treatment was performed according to the patented technology by joint application of titanium grating, osteoconductor and resorbable collagen membrane.

Results. As a result of complex surgical treatment, it was possible to form a bone block in the area of destruction in a shorter period of time in comparison with the classical technique.

Conclusion. Despite the wide list of surgical techniques, the issue of bone block formation in the area of surgery remains rather controversial. The application of the proposed technique allows to create optimal conditions for bone block formation in the operation zone, avoiding the ingrowth of soft tissue elements into the zone of new bone proliferation and thus increasing the efficiency of bone block formation.

About the Authors

A. A. Bezzubov
Federal State Budgetary Institution "National Medical Research Center for Phthisiopulmonology and Infectious Diseases" of the Ministry of Health of the Russian Federation
Russian Federation

Alexandr A. Bezzubov

4, st. Dostoevsky, Moscow, 127473



E. O. Peretsmanas
Federal State Budgetary Institution "National Medical Research Center for Phthisiopulmonology and Infectious Diseases" of the Ministry of Health of the Russian Federation
Russian Federation

Evgeniy O. Peretsmanas, Dr. Sci. (Med.)

4, st. Dostoevsky, Moscow, 127473



Y. A. Rukin
Federal State Budgetary Institution "National Medical Research Center for Phthisiopulmonology and Infectious Diseases" of the Ministry of Health of the Russian Federation; Federal State Autonomous Educational Institution of Higher Education Pirogov Russian National Research Medical University of the Ministry of Health of the Russia
Russian Federation

Yaroslav A. Rukin, Dr. Sci. (Med.)

4, st. Dostoevsky, Moscow, 127473

1/6 Ostrovitianova St, Moscow, 117513



G. M. Kavalerskiy
Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
Russian Federation

Gennadiy M. Kavalerskiy, Dr. Sci. (Med.)

Moscow, 119048



A. A. Rodin
Federal State Budgetary Institution "National Medical Research Center for Phthisiopulmonology and Infectious Diseases" of the Ministry of Health of the Russian Federation
Russian Federation

Alexandr A. Rodin

 4, st. Dostoevsky, Moscow, 127473



Yu. Yu. Schepeteva
Federal State Budgetary Institution "National Medical Research Center for Phthisiopulmonology and Infectious Diseases" of the Ministry of Health of the Russian Federation
Russian Federation

Yuliya Yu. Schepeteva

4, st. Dostoevsky, Moscow, 127473



P. A. Bondarenko
Federal State Autonomous Educational Institution of Higher Education Pirogov Russian National Research Medical University of the Ministry of Health of the Russia
Russian Federation

Polina A. Bondarenko

 1/6 Ostrovitianova St, Moscow, 117513



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For citations:


Bezzubov A.A., Peretsmanas E.O., Rukin Y.A., Kavalerskiy G.M., Rodin A.A., Schepeteva Yu.Yu., Bondarenko P.A. Surgical treatment of infectious spondylitis using bilateral barrier collagen membrane: A clinical case study. Department of Traumatology and Orthopaedics. 2025;(3):21-27. (In Russ.) https://doi.org/10/17238/issn2226-2016.2025.3.21-27

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ISSN 2226-2016 (Print)