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.
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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