Koh Y D, Kim J O, Choi C H, An H S
Department of Orthopaedic Surgery, Ewha Women's University, Seoul, Korea.
Spine (Phila Pa 1976). 2001 Mar 1;26(5):588-9. doi: 10.1097/00007632-200103010-00028.
A case of pyogenic spondylitis in S1-S2 is presented.
To describe the diagnosis and management of this rare spondylitis.
The segment including the first and second sacral vertebrae is not mobile. Therefore, discitis of S1-S2 and adjacent spondylitis is very rare. To the authors' knowledge, this is the first reported case of infectious spondylitis in an immobile segment: S1-S2.
In addition to radiography and bone scintigraphy, magnetic resonance imaging was used to confirm the diagnosis. Changes consistent with infectious spondylitis were shown, including an epidural abscess.
The patient was treated with laparoscopic drainage and biopsy. Staphylococcus aureus was cultured, and adequate antibiotics were administered. Repeat magnetic resonance imaging at approximately 4 months demonstrated normal signal intensity and disappearance of the abscess.
Findings from this study show that pyogenic spondylitis can occur in immobile S1-S2.
报告一例S1 - S2节段的化脓性脊柱炎病例。
描述这种罕见脊柱炎的诊断与治疗。
包括第一和第二骶椎的节段活动度小。因此，S1 - S2椎间盘炎及相邻脊柱炎非常罕见。据作者所知，这是首例报道的活动度小的节段（S1 - S2）感染性脊柱炎病例。
除了X线摄影和骨闪烁显像外，还使用磁共振成像来确诊。显示出与感染性脊柱炎一致的变化，包括硬膜外脓肿。
患者接受了腹腔镜引流和活检。培养出金黄色葡萄球菌，并给予了足量抗生素。大约4个月后复查磁共振成像显示信号强度正常，脓肿消失。
本研究结果表明，化脓性脊柱炎可发生于活动度小的S1 - S2节段。
