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[非特异性破坏性脊椎椎间盘炎的治疗，特别关注矢状位对线]

[Therapy of unspecific destructive spondylodiscitis with special consideration to sagittal alignment].

作者信息

Klöckner C, Wiedenhöfer B

机构信息

Institut für Wirbelsäulenerkrankungen und Wirbelsäulenchirurgie, Zürich, Schweiz.

出版信息

Orthopade. 2012 Sep;41(9):736-41. doi: 10.1007/s00132-012-1917-8.

DOI:10.1007/s00132-012-1917-8
PMID:22926538
Abstract

Nonspecific destructive spondylodiscitis is a severe illness which is accompanied by a high mortality rate. There is agreement in the literature on the indications for surgical treatment of destructive spondylodiscitis and sagittal alignment has to be considered for the operative procedure. Therefore, the operative procedure has to make considerations for the deformity, the extent of destruction, the clinical characteristics of the patient and the extent of spondylodiscitis.

摘要

非特异性破坏性脊椎间盘炎是一种严重疾病，死亡率很高。文献中对于破坏性脊椎间盘炎的手术治疗指征已达成共识，手术过程中必须考虑矢状面排列情况。因此，手术过程必须考虑畸形、破坏程度、患者的临床特征以及脊椎间盘炎的范围。

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本文引用的文献

1
[Pyogenic spondylodiscitis of the thoracic and lumbar spine : a new classification and guide for surgical decision-making].[胸腰椎化脓性脊椎间盘炎：一种新的分类及手术决策指南]
Orthopade. 2011 Jul;40(7):614-23. doi: 10.1007/s00132-011-1742-5.
2
New inflammation markers for early detection of spondylodiscitis.用于早期检测脊椎 discsitis 的新炎症标志物。
Eur Spine J. 1992 Dec;1(3):152-5. doi: 10.1007/BF00301305.
3
Anterior debridement and fusion followed by posterior pedicle screw fixation in pyogenic spondylodiscitis: autologous iliac bone strut versus cage.
化脓性脊椎椎间盘炎先行前路清创融合术，再行后路椎弓根螺钉内固定术：自体髂骨支撑植骨与椎间融合器的比较
J Neurosurg Spine. 2008 May;8(5):405-12. doi: 10.3171/SPI/2008/8/5/405.
4
Long-term results of ventro-dorsal versus ventral instrumentation fusion in the treatment of spondylitis.胸腰椎与前路器械融合术治疗脊柱炎的长期疗效
Int Orthop. 2007 Feb;31(1):113-9. doi: 10.1007/s00264-006-0140-9. Epub 2006 May 17.
5
[Surgical therapy of unspecific and specific Spondylodiscitis].[非特异性和特异性脊椎椎间盘炎的外科治疗]
Z Orthop Ihre Grenzgeb. 2005 Mar-Apr;143(2):204-12. doi: 10.1055/s-2005-836455.
6
Better treatment of vertebral osteomyelitis using posterior stabilization and titanium mesh cages.采用后路稳定术和钛网笼治疗椎体骨髓炎效果更佳。
J Spinal Disord Tech. 2002 Apr;15(2):149-56; discussion 156. doi: 10.1097/00024720-200204000-00010.
7
[Alignment of the sagittal profile after surgical therapy of nonspecific destructive spondylodiscitis: ventral or ventrodorsal method--a comparison of outcomes].
Orthopade. 2001 Dec;30(12):965-76. doi: 10.1007/s001320170010.
8
Treatment of spinal stenosis and fixed sagittal imbalance.脊柱管狭窄症及固定性矢状面失衡的治疗。
Clin Orthop Relat Res. 2001 Mar(384):35-44. doi: 10.1097/00003086-200103000-00006.
9
Hematogenous pyogenic spinal infections and their surgical management.血源性化脓性脊柱感染及其外科治疗
Spine (Phila Pa 1976). 2000 Jul 1;25(13):1668-79. doi: 10.1097/00007632-200007010-00010.
10
Primary stable anterior instrumentation or dorsoventral spondylodesis in spondylodiscitis? Results of a comparative study.脊椎椎间盘炎的一期前路稳定内固定术或前后路脊柱融合术？一项比较研究的结果。
Eur Spine J. 1997;6(3):152-7. doi: 10.1007/BF01301428.