Shepard Matthew, Safain Mina, Burke Shane M, Hwang Steven, Kryzanski James, Riesenburger Ron I
Tufts Medical Center, Department of Neurosurgery , Boston, MA , USA.
Minim Invasive Ther Allied Technol. 2014 Oct;23(5):309-12. doi: 10.3109/13645706.2014.908924. Epub 2014 Apr 29.
Spondylodiscitis is an infection of the intervertebral disc and adjacent vertebrae. With the advent of minimally invasive spinal surgery, less invasive approaches have been considered for the treatment of discitis. To date, however, there have been no reported cases of a minimally invasive lateral retroperitoneal transpsoas approach for the treatment of spondylodiscitis. The authors report a case of medically refractory discitis in a patient with multiple comorbidities who underwent a successful limited debridement via a lateral transpsoas corridor. This case describes a minimally invasive approach used to treat a patient with lumbar discitis/osteomyelitis who was otherwise a suboptimal surgical candidate.
脊椎椎间盘炎是椎间盘及相邻椎体的感染。随着微创脊柱手术的出现，人们开始考虑采用侵入性较小的方法来治疗椎间盘炎。然而，迄今为止，尚无采用微创外侧腹膜后经腰大肌入路治疗脊椎椎间盘炎的病例报道。作者报告了一例患有多种合并症、药物治疗无效的椎间盘炎患者，该患者通过经腰大肌外侧通道成功进行了有限清创术。本病例描述了一种用于治疗腰椎椎间盘炎/骨髓炎患者的微创方法，该患者在其他方面是手术的欠佳候选者。
