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老年化脓性椎体骨髓炎合并脊髓压迫症的治疗

Management of pyogenic vertebral osteomyelitis with spinal cord compression in the elderly.

作者信息

Gepstein R, Folman Y, Lidor C, Barchilon V, Catz A, Hallel T

机构信息

Department of Orthopaedics, Meir Hospital, Kfar Saba, Israel.

出版信息

Paraplegia. 1992 Nov;30(11):795-8. doi: 10.1038/sc.1992.153.

DOI:10.1038/sc.1992.153
PMID:1484732
Abstract

Five elderly and debilitated patients presented with compressive myelopathy due to pyogenic spondylitis. All had undergone surgery which consisted of eradication of the infected tissue via an anterior approach followed by primary bone graft. Supplementary antibiotic treatment was determined by intraoperative bacteriological culture. This aggressive approach, disregarding the patients' advanced age and poor general medical state, resulted in total resolution of the neurological deficit and the patients' return to their preoperative everyday activity.

摘要

五名老年体弱患者因化脓性脊柱炎出现压迫性脊髓病。所有患者均接受了手术,手术包括通过前路根除感染组织,随后进行一期骨移植。术中细菌培养确定辅助抗生素治疗方案。这种积极的治疗方法,不顾患者的高龄和较差的总体健康状况,使神经功能缺损完全恢复,患者恢复到术前的日常活动水平。

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