{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T02:19:25Z","timestamp":1760235565068,"version":"build-2065373602"},"reference-count":18,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["TropicalMed"],"abstract":"<jats:p>Medical treatment with antibiotic therapy remains the mainstay of treatment for pyogenic spondylodiscitis (PS). Nevertheless, orthopaedic treatment is also very important in relieving pain, preventing neurological damage, and avoiding development of spinal deformities (e.g., scoliosis, kyphosis) due to spinal instability. Rigid thoracolumbosacral orthosis (TLSO) bracing is often needed in patients with PS, and average duration of treatment of 3 to 4 months. However, TLSO bracing can be poorly tolerated and limit ability of the patient to go back to a normal life. In 2004 our group developed an alternative surgical treatment to TLSO bracing by percutaneous posterior screw-rod bridge instrumentation of the infected level. This treatment allows early and free mobilization of the patients and is associated with faster recovery, lower pain scores and improved quality of life as previously reported. Herein, we report the clinical outcome of the first 3 patients who have completed the 10 years follow-up mark after the procedure. A case report is also described and details of the procedure are provided.<\/jats:p>","DOI":"10.3390\/tropicalmed6030159","type":"journal-article","created":{"date-parts":[[2021,9,6]],"date-time":"2021-09-06T23:55:22Z","timestamp":1630972522000},"page":"159","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["10-Year Clinical, Functional, and X-ray Follow-Up Evaluation of a Novel Posterior Percutaneous Screw-Rod Instrumentation Technique for Single-Level Pyogenic Spondylodiscitis"],"prefix":"10.3390","volume":"6","author":[{"given":"Enrico","family":"Pola","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, A.O.U. \u201cVanvitelli\u201d University Hospital, \u201cLuigi Vanvitelli\u201d University, Via del Sole 10, 80138 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3291-9911","authenticated-orcid":false,"given":"Luigi Aurelio","family":"Nasto","sequence":"additional","affiliation":[{"name":"Department of Paediatric Orthopaedics, IRCCS Istituto \u201cG. Gaslini\u201d, Via G. Gaslini 5, 16147 Genova, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valerio","family":"Cipolloni","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, A.O.U. \u201cVanvitelli\u201d University Hospital, \u201cLuigi Vanvitelli\u201d University, Via del Sole 10, 80138 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5534-5258","authenticated-orcid":false,"given":"Debora","family":"Colangelo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, A.O.U. \u201cVanvitelli\u201d University Hospital, \u201cLuigi Vanvitelli\u201d University, Via del Sole 10, 80138 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Leone","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging, Radiotherapy and Haematology, Universit\u00e0 Cattolica del Sacro Cuore di Roma, \u201cA. Gemelli\u201d University Hospital, l.go A. Gemelli 1, 00168 Roma, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfredo","family":"Schiavone Panni","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, A.O.U. \u201cVanvitelli\u201d University Hospital, \u201cLuigi Vanvitelli\u201d University, Via del Sole 10, 80138 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,9,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.jinf.2013.11.011","article-title":"Increasing incidence of pyogenic spondylodiscitis: A 14-year population-based study","volume":"68","author":"Kehrer","year":"2014","journal-title":"J. Infect."},{"key":"ref_2","first-page":"2","article-title":"Epidemiological and clinical features of pyogenic spondylodiscitis","volume":"16","author":"Fantoni","year":"2012","journal-title":"Eur. Rev. Med. Pharmacol. 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Sci."}],"container-title":["Tropical Medicine and Infectious Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2414-6366\/6\/3\/159\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:54:36Z","timestamp":1760165676000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2414-6366\/6\/3\/159"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,1]]},"references-count":18,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,9]]}},"alternative-id":["tropicalmed6030159"],"URL":"https:\/\/doi.org\/10.3390\/tropicalmed6030159","relation":{},"ISSN":["2414-6366"],"issn-type":[{"type":"electronic","value":"2414-6366"}],"subject":[],"published":{"date-parts":[[2021,9,1]]}}}