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脊柱感染中的微创脊柱手术。

Minimally invasive spine surgery in spinal infections.

作者信息

Verdú-López Francisco, Vanaclocha-Vanaclocha Vicente, Mayorga-Villa Juan D

机构信息

Department of Neurosurgery, Consorcio Hospital General Universitario de Valencia, Valencia, Spain -

Department of Neurosurgery, Consorcio Hospital General Universitario de Valencia, Valencia, Spain.

出版信息

J Neurosurg Sci. 2017 Jun;61(3):303-315. doi: 10.23736/S0390-5616.16.03911-4. Epub 2016 Oct 27.

Abstract

INTRODUCTION

Although spinal infections have always been present recently their incidence has increased, in partly fostered by the advances in medicine (i.e. compromised immunity, chronic diseases, increasingly complex spinal procedures, etc.) and increased life expectancy.

EVIDENCE ACQUISITION

Using PubMed for this systematic review, the main spine infections types will be addressed focusing in the minimally invasive surgical techniques that can be used in their treatment.

EVIDENCE SYNTHESIS

Spontaneous and iatrogenic pyogenic and non-pyogenic spine infections can be treated in many different ways depending on their extension and location as well as on their causative microorganisms. The indications of percutaneous image-guided, endoscopic and microsurgical treatment techniques will be updated.

CONCLUSIONS

In spine infections minimally invasive surgical techniques show a great potential as to be safe, effective, with low surgical morbidity and fast patients' recovery.

摘要

引言

尽管脊柱感染一直存在,但近年来其发病率有所上升,部分原因是医学进步(即免疫力低下、慢性病、脊柱手术日益复杂等)以及预期寿命延长。

证据收集

使用PubMed进行本系统评价,将重点讨论可用于治疗的微创外科技术的主要脊柱感染类型。

证据综合

自发性和医源性化脓性及非化脓性脊柱感染可根据其范围、位置以及致病微生物采用多种不同方法治疗。经皮影像引导、内镜和显微外科治疗技术的适应证将予以更新。

结论

在脊柱感染中,微创外科技术在安全性、有效性、低手术发病率和患者快速康复方面显示出巨大潜力。

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