Dmitriev A E, Shepilov G F, Kriukov B N, Trushin Iu A
Khirurgiia (Mosk). 1989 Aug(8):3-7.
The authors had 11 patients of different age with osteomyelitis of the sacrum; 9 were males and 2 females. The process was unilateral in most (9) of them. The duration of the disease was approximately 4 months. Before admission to the clinic 8 patients were treated for a long time and unsuccessfully by other specialists. From their experience the authors describe the characteristic complaints, signs, and clinical picture of the disease. They suggest that modern methods of examination (scintigraphy of the skeletal bones, computerized tomography) should be used more frequently. These methods ensure earlier and more reliable detection of destruction of the sacrum and leakage of pus. The 11 patients were operated on. One patient died on the 11th postoperative day from thromboembolism of the pulmonary artery. The disease did not recur in any of the patients who recovered.
作者有11例不同年龄的骶骨骨髓炎患者；9例为男性，2例为女性。其中大多数（9例）病变为单侧。病程约4个月。在入院前，8例患者曾被其他专科医生长时间治疗但未成功。作者根据自身经验描述了该病的典型主诉、体征和临床表现。他们建议应更频繁地使用现代检查方法（骨骼闪烁扫描、计算机断层扫描）。这些方法能更早、更可靠地检测出骶骨破坏和脓液渗漏。11例患者均接受了手术。1例患者在术后第11天死于肺动脉血栓栓塞。康复的患者均未复发。
