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经皮内镜下腰椎间盘切除术后的化脓性脊椎椎间盘炎

Pyogenic spondylodiscitis after percutaneous endoscopic lumbar discectomy.

作者信息

Choi Kyeong-Bo, Lee Choon-Dae, Lee Sang-Ho

机构信息

Department of Neurosurgery, Busan Wooridul Spine Hospital, Busan, Korea.

出版信息

J Korean Neurosurg Soc. 2010 Nov;48(5):455-60. doi: 10.3340/jkns.2010.48.5.455. Epub 2010 Nov 30.

DOI:10.3340/jkns.2010.48.5.455
PMID:21286487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3030090/
Abstract

We reviewed 9 cases of pyogenic spondylodiscitis following percutaneous endoscopic lumbar discectomy (PELD). Microbiologic cultures revealed 6 causative organisms. Five patients were managed conservatively and four were treated surgically. The mean follow-up period was 20.6 months and the average length of hospitalization was 24 days. Radiological evidence of spinal fusion was noted and infection was resolved in all patients. Although PELD is a safe and effective procedure, the possibility of pyogenic spondylodiscitis should always be considered.

摘要

我们回顾了9例经皮内镜下腰椎间盘切除术（PELD）后发生的化脓性椎间盘炎病例。微生物培养发现了6种致病微生物。5例患者采用保守治疗，4例接受了手术治疗。平均随访期为20.6个月，平均住院时间为24天。所有患者均有脊柱融合的影像学证据且感染得到解决。虽然PELD是一种安全有效的手术，但应始终考虑化脓性椎间盘炎的可能性。

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本文引用的文献

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Anterior interbody grafting and instrumentation for advanced spondylodiscitis.前路椎间植骨融合内固定术治疗晚期腰椎间盘炎。
J Korean Neurosurg Soc. 2008 Jan;43(1):5-10. doi: 10.3340/jkns.2008.43.1.5. Epub 2008 Jan 20.
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Percutaneous endoscopic approach for highly migrated intracanal disc herniations by foraminoplastic technique using rigid working channel endoscope.经皮内镜下采用刚性工作通道内镜的椎间孔成形技术治疗高度移位的椎管内椎间盘突出症
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Transforaminal percutaneous endoscopic discectomy in the treatment of foraminal and extraforaminal lumbar disc herniations.经椎间孔后路腰椎间盘镜下髓核摘除术治疗椎间孔及椎间孔外型腰椎间盘突出症
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