Basrah Medical College, Basrah, Iraq.
Int Orthop. 2012 Feb;36(2):445-50. doi: 10.1007/s00264-011-1430-4. Epub 2011 Dec 9.
The focus of this study was to analyse the patient with disc space infection and the need for re-exploration.
Thirty-five patients were analysed within the period from April 1992 and May 2011. The diagnosis was confirmed by the cardinal clinical features, raised erythrocyte sedimentation rate [ESR], raised C-reactive protein and MRI findings. All received 500-mg intravenous amikacin and one gram ceftriaxone at the time of anaesthetic induction and six hours after surgery.
Age range was between 25-62 years. The appearance of symptoms was between four days and three weeks. Nine patients had silent chronic urinary tract infection. Twenty-nine patients had re-exploration while the others did well on conservative treatment. Neurological deficit was not recorded. All recovered well within six to nine months.
Re-exploration is recommended if no response is achieved after four day's conservative treatment for or if the patient's condition is critical.
本研究的重点是分析椎间盘间隙感染患者和再次探查的必要性。
对 1992 年 4 月至 2011 年 5 月期间的 35 例患者进行了分析。通过主要临床特征、红细胞沉降率[ESR]升高、C 反应蛋白升高和 MRI 发现来确诊。所有患者在麻醉诱导时和手术后 6 小时内均接受 500mg 静脉注射阿米卡星和 1g 头孢曲松治疗。
年龄在 25-62 岁之间。症状出现时间为 4 天至 3 周之间。9 例患者有慢性无症状尿路感染。29 例患者进行了再次探查，而其他患者则通过保守治疗恢复良好。未记录到神经功能缺损。所有患者均在 6-9 个月内恢复良好。
如果保守治疗 4 天后无效果，或者患者病情危急，则建议进行再次探查。
