术后椎间盘炎的管理：31例患者的回顾
Management of Postoperative Discitis: A Review of 31 Patients.
作者信息
Singh Deepak Kumar, Singh Neha, Das Praveen Kumar, Malviya Deepak
机构信息
Department of Neurosurgery, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Departement of Radiodiagnosis and Imaging, King George's Medical University, Lucknow, Uttar Pradesh, India.
出版信息
Asian J Neurosurg. 2018 Jul-Sep;13(3):703-706. doi: 10.4103/ajns.AJNS_233_16.
BACKGROUND
The aim of the study was to retrospectively evaluate the outcome of medical management of postoperative discitis (POD).
MATERIALS AND METHODS
A total of 31 patients treated for POD were included in the study. Clinical, radiological, and laboratory data of all patients were collected and evaluated. All patients were treated initially with bed rest and antibiotic therapy after radiological diagnosis. Surgical management was undertaken after failure of 4 weeks of conservative management. All cases were followed clinically with laboratory and radiological investigations.
RESULTS
Five cases failed to respond to medical management and were treated surgically with debridement and transpedicular fixation. All patients showed clinical recovery till the last follow-up.
CONCLUSION
Early diagnosis and proper management are the keys to successful outcome of postoperative spndylodiscitis. Surgical debridement and fusion are required when conservative treatment fails.
背景
本研究的目的是回顾性评估术后椎间盘炎（POD）的药物治疗结果。
材料与方法
本研究共纳入31例接受POD治疗的患者。收集并评估所有患者的临床、影像学和实验室数据。所有患者在影像学诊断后最初均接受卧床休息和抗生素治疗。保守治疗4周失败后进行手术治疗。所有病例均通过实验室和影像学检查进行临床随访。
结果
5例患者对药物治疗无反应，接受了清创和经椎弓根固定手术治疗。所有患者直至最后一次随访时均显示临床康复。
结论
早期诊断和恰当治疗是术后脊椎椎间盘炎取得成功结果的关键。保守治疗失败时需要进行手术清创和融合。
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