Verdú-López Francisco, Vanaclocha-Vanaclocha Vicente, Mayorga-Villa Juan D
Department of Neurosurgery, Consorcio Hospital General Universitario de Valencia, Valencia, Spain -
Department of Neurosurgery, Consorcio Hospital General Universitario de Valencia, Valencia, Spain.
J Neurosurg Sci. 2017 Jun;61(3):303-315. doi: 10.23736/S0390-5616.16.03911-4. Epub 2016 Oct 27.
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.
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.
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.
In spine infections minimally invasive surgical techniques show a great potential as to be safe, effective, with low surgical morbidity and fast patients' recovery.
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。
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。
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。
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。