Krödel A, Stürz H, Siebert C H
Orthopaedic Clinic, Ludwig Maximilian University, Munich, Federal Republic of Germany.
Arch Orthop Trauma Surg. 1991;110(2):78-82. doi: 10.1007/BF00393878.
We present a retrospective follow-up study of 24 patients with spondylitis or spondylodiscitis whose treatment included surgical intervention. Tuberculous spondylitis was diagnosed in 14 patients and 10 suffered from non-specific spondylitis. The average age of the patients was 50.2 years and average follow-up was 3 years. All patients were asymptomatic at the time of examination and showed radiographic evidence of solid fusion. We recommend radical debridement and spinal fusion through a ventral approach in patients with destruction of the ventral vertebral body, progressive neurological impairment, septicaemia and antibiotic-resistant, symptomatic infections of the spine. In the elderly patient, even in reduced states of health, early surgical intervention can be particularly valuable. Although surgical intervention should be reserved for specific indications, we were able to document favourable results in all 24 patients treated with debridement and spinal fusion.
我们对24例脊柱炎或脊椎椎间盘炎患者进行了一项回顾性随访研究，这些患者的治疗包括手术干预。14例患者被诊断为结核性脊柱炎，10例患有非特异性脊柱炎。患者的平均年龄为50.2岁，平均随访时间为3年。所有患者在检查时均无症状，并显示出影像学上的牢固融合证据。对于椎体前部破坏、进行性神经功能损害、败血症以及脊柱抗生素耐药性症状性感染的患者，我们建议通过前路进行根治性清创和脊柱融合术。对于老年患者，即使健康状况不佳，早期手术干预也可能特别有价值。虽然手术干预应保留用于特定适应症，但我们能够记录到所有24例接受清创和脊柱融合术治疗的患者都取得了良好的效果。
