关节突旁囊肿感染。
Juxtafacet cyst infection.
出版信息
Eur Spine J. 2013 May;22 Suppl 3(Suppl 3):S388-93. doi: 10.1007/s00586-012-2503-9. Epub 2012 Sep 21.
PURPOSE
In the realm of spinal surgery, infections have multiple etiologies and sites of origin. In this case series, we describe a juxtafacet cyst spinal infection that can often be missed or attributed to common symptomology of benign processes despite florid infection.
METHODS
In rare instances, the juxtafacet cyst may become infected and require direct intervention. This case report attempts to describe the prodrome leading to such a diagnosis and two different ways to manage an infected facet cyst.
RESULTS
Management of spinal infections varies due to the multiplicity of causes and location of infections. The juxtafacet cyst infection should remain a part of the differential diagnosis for low back pain as their presentation often mimics more common presenting complaints.
CONCLUSIONS
In our two patient presentations, both were diabetics and had remote histories of cancer that necessitated chemotherapy or radiation therapy. They also seemingly had de novo onset of infected juxtafacet cyst. The variety of causes and presentations of spinal infections should heighten the astute surgeon to be suspicious of these entities and thus intervene early with appropriate management.
目的
在脊柱外科领域，感染有多种病因和起源部位。在本病例系列中，我们描述了一种关节突旁囊肿脊柱感染，尽管感染明显，但这种感染常常容易被忽视或归因于良性病变的常见症状。
方法
在罕见情况下，关节突旁囊肿可能会感染，需要直接干预。本病例报告试图描述导致这种诊断的前驱症状，以及两种不同的方法来处理感染的关节突囊肿。
结果
由于感染的病因和部位多种多样，脊柱感染的治疗方法也有所不同。关节突旁囊肿感染应作为腰痛的鉴别诊断之一，因为其表现常常类似于更常见的临床表现。
结论
在我们的两个患者病例中，两人均为糖尿病患者，且有癌症的既往病史，需要化疗或放疗。他们似乎也有新发的感染性关节突旁囊肿。引起脊柱感染的病因和表现多种多样，这会促使敏锐的外科医生对这些病变保持警惕，并因此尽早进行适当的治疗。
Zotero 插件