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IRCT20220206053948N1 IRCT 2023-05-09 Esfahan University of Medical Sciences consequences of the disease in patients with osteodyscitis Evaluation of long-term consequences of the disease in patients with osteodyscitis without correction 2022-04-21 anticipated 60 Complete https://irct.ir/trial/62470 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: the patients will be divided into two groups, case and control, based on the indication of surgery completely randomly and based on the randomization part of Excel. In this way, all the names are entered into Excel and we will create a random number in Excel using the Random Number Generation option in the Analysis ToolPak section. N/A osteodyscitis. Intervention 1: Intervention group: Cage Insertion is not performed. The patient is placed in the prone position and the vertebrae that have already been detected in the MRI are identified and photographed using the c_arm device.The desired place is cut or so-called stripped until the fast is released. After that, the lamina and spinous process of the inflamed vertebrae are removed.Then a path is found to access the disc between the infected vertebrae, the disc is removed and the inflamed parts are also removed (it has started to eat the body of the vertebra, which is called a corpectomy) and it is continued until the edge It starts to bleed and when it reaches this stage, Ben Chips (dead bone) is used and it is poured into the crushed space (between two vertebrae).After that, for the screws that we put, the appropriate part in terms of size and curvature is placed and fixed, and in order for the fusion (connection) to happen outside, Ben Chips is used again.Ben Chips is used in two parts, one for the fusion of broken air and one for the fusion of pedicles and screws at the end. Finally, a drain is used to remove secretions after the operation, and cage placement is not used in this method. Intervention 2: Control group: Cage Insertion. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no more information
public Majid Rezvani
Al-Zahra Educational and Medical Center, Sofe Street
Isfahan Iran (Islamic Republic of) 8174675731 +98 31 3668 5555 m_rezvani@med.mui.ac.ir Esfahan University of Medical Sciences scientific Majid Rezvani
Al-Zahra Educational and Medical Center, Sofe Street
Isfahan Iran (Islamic Republic of) 8174675731 +98 31 3668 5555 m_rezvani@med.mui.ac.ir Esfahan University of Medical Sciences Iran (Islamic Republic of) The patient should have osteodyscitis according to the expert's imaging findings. The patient has the consent to participate in the study. Do not have drug addiction. Do not have autoimmune diseases and other diseases of the spinal cord and spine Has not taken corticosteroids before or during treatment. 15 years 64 years Both Lack of patient consent to enter the study M46.2 Osteomyelitis of vertebra Treatment - Devices Treatment - Devices Intervention group: Cage Insertion is not performed. The patient is placed in the prone position and the vertebrae that have already been detected in the MRI are identified and photographed using the c_arm device.The desired place is cut or so-called stripped until the fast is released. After that, the lamina and spinous process of the inflamed vertebrae are removed.Then a path is found to access the disc between the infected vertebrae, the disc is removed and the inflamed parts are also removed (it has started to eat the body of the vertebra, which is called a corpectomy) and it is continued until the edge It starts to bleed and when it reaches this stage, Ben Chips (dead bone) is used and it is poured into the crushed space (between two vertebrae).After that, for the screws that we put, the appropriate part in terms of size and curvature is placed and fixed, and in order for the fusion (connection) to happen outside, Ben Chips is used again.Ben Chips is used in two parts, one for the fusion of broken air and one for the fusion of pedicles and screws at the end. Finally, a drain is used to remove secretions after the operation, and cage placement is not used in this method. Control group: Cage Insertion Ability to walk. Timepoint: Before surgery and 1, 3, 6 and 12 months after surgery. Method of measurement: checklist and Standard questionnaire Japanese Orthopaedic Association on Low Back Pain. Esfahan University of Medical Sciences Approved 2021-12-25 Ethics committee of Isfahan University of Medical Sciences Isfahan University of Medical Sciences, Hezar Jerib St. Isfahan Isfehan Iran (Islamic Republic of)