Akbar M, Lehner B, Doustdar S, Fürstenberg C H, Hemmer S, Bruckner T, Carstens C, Wiedenhöfer B
Department Orthopädie, Unfallchirurgie und Paraplegiologie, Zentrum für Wirbelsäulenchirurgie, Stiftung Orthopädische Universitätsklinik der Ruprecht-Karls-Universität Heidelberg, Schlierbacher Landstr. 200a, 69118, Heidelberg, Deutschland.
Orthopade. 2011 Jul;40(7):614-23. doi: 10.1007/s00132-011-1742-5.
Despite modern diagnostic imaging options pyogenic infections of the spine are often detected tardily and therefore accompanied by a high mortality rate. To ensure an efficient and adequate therapy it is necessary to identify and treat the focus of inflammation. The recommendations for the operative strategy are still a highly controversial issue. On the other hand no classification and guidelines for surgical treatment and treatment strategies of pyogenic spinal infection have yet been published.Pyogenic spinal infections are often underestimated in frequency of occurrence and severity of symptoms. From 1994 until 2008, 269 patients suffering from an infection of the thoracic and lumbar spine were treated in the Department of Orthopedic Surgery Heidelberg and 221 patients underwent surgery. Within the scope of a clinical trial clinical aspects and therapeutic consequences of patients with pyogenic spinal infections were retrospectively investigated. Based on the study data a classification of pyogenic spinal infections of the thoracic and lumbar spine and a guide for surgical decision-making was developed.
尽管有现代诊断成像手段，但脊柱化脓性感染往往发现较晚，因此死亡率较高。为确保有效且充分的治疗，有必要识别并治疗炎症病灶。手术策略的建议仍是一个极具争议的问题。另一方面，目前尚未发表关于化脓性脊柱感染的手术治疗及治疗策略的分类和指南。化脓性脊柱感染的发生频率和症状严重程度常常被低估。1994年至2008年期间，海德堡矫形外科收治了269例胸腰椎感染患者，其中221例接受了手术。在一项临床试验范围内，对化脓性脊柱感染患者的临床情况及治疗结果进行了回顾性研究。基于研究数据，制定了胸腰椎化脓性脊柱感染的分类及手术决策指南。
