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感染脊柱的稳定。

Stabilisation of the infected spine.

作者信息

Redfern R M, Miles J, Banks A J, Dervin E

机构信息

Mersey Regional Department of Medical and Surgical Neurology, Walton Hospital, Liverpool, UK.

出版信息

J Neurol Neurosurg Psychiatry. 1988 Jun;51(6):803-7. doi: 10.1136/jnnp.51.6.803.

DOI:10.1136/jnnp.51.6.803
PMID:3042916
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1033151/
Abstract

A metal stabilising rod was inserted at the time of surgical drainage of the abscess in six patients with spinal instability secondary to vertebral osteomyelitis. The procedure enabled early postoperative mobilisation to be undertaken in five patients. All cases obtained immediate relief of pain. One case of delayed wound healing occurred but not late recurrent infections were encountered after discontinuing antibiotic therapy. The technique was employed in cases of pyogenic as well as tuberculous spinal osteomyelitis.

摘要

对于6例因椎体骨髓炎继发脊柱不稳的患者,在脓肿手术引流时插入了金属稳定棒。该手术使5例患者术后能够早期活动。所有病例的疼痛均立即缓解。发生了1例伤口愈合延迟的情况,但停用抗生素治疗后未出现晚期反复感染。该技术用于化脓性以及结核性脊柱骨髓炎病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef5c/1033151/94c0071cb0d0/jnnpsyc00541-0061-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef5c/1033151/25d19b388b32/jnnpsyc00541-0060-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef5c/1033151/fae65c8ae7f5/jnnpsyc00541-0060-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef5c/1033151/94c0071cb0d0/jnnpsyc00541-0061-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef5c/1033151/25d19b388b32/jnnpsyc00541-0060-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef5c/1033151/fae65c8ae7f5/jnnpsyc00541-0060-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef5c/1033151/94c0071cb0d0/jnnpsyc00541-0061-a.jpg

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本文引用的文献

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Staphylococcal infection of the spine.脊柱葡萄球菌感染
Lancet. 1961 Nov 25;2(7213):1165-6. doi: 10.1016/s0140-6736(61)90842-x.
2
ANTERIOR APPROACHES IN THE DIAGNOSIS AND TREATMENT OF INFECTIONS OF THE VERTEBRAL BODIES.椎体感染诊断与治疗中的前路入路
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THE CAST SYNDROME. A CASE REPORT AND DISCUSSION OF THE LITERATURE.石膏综合征。一例病例报告及文献讨论。
双孔道内镜减压、清创及椎间融合术联合经皮螺钉固定治疗腰椎布鲁氏菌性脊柱炎
Front Surg. 2023 Jan 6;9:1024510. doi: 10.3389/fsurg.2022.1024510. eCollection 2022.
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Expandable Titanium Cages in the Emergent Treatment of Severe Spinal Deformity Secondary to Osteomyelitis: A Series of Three Complex Cases.可扩张钛笼在治疗骨髓炎继发严重脊柱畸形急症中的应用:三例复杂病例系列报道
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Factors associated with treatment failure in vertebral osteomyelitis requiring spinal instrumentation.需要脊柱器械固定的脊椎骨髓炎治疗失败的相关因素。
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Anterior instrumentation for the treatment of pyogenic vertebral osteomyelitis of thoracic and lumbar spine.胸腰椎化脓性椎体骨髓炎的前路内固定治疗
Eur Spine J. 2008 Aug;17(8):1027-34. doi: 10.1007/s00586-008-0661-6. Epub 2008 Jun 25.
7
Surgical treatment of pyogenic vertebral osteomyelitis with spinal instrumentation.采用脊柱内固定术治疗化脓性脊椎骨髓炎
Eur Spine J. 2007 Sep;16(9):1307-16. doi: 10.1007/s00586-006-0251-4. Epub 2006 Nov 15.
8
[Paraplegia in cases of septic diseases of the spine].
Orthopade. 2005 Feb;34(2):113-4, 116-9. doi: 10.1007/s00132-004-0753-x.
J Bone Joint Surg Am. 1964 Oct;46:1549-52.
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Hematogenous pyogenic vertebral osteomyelitis.血源性化脓性脊椎骨髓炎
J Bone Joint Surg Am. 1960 Apr;42-A:429-36.
5
Osteomyelitis as a complication in urology; with special reference to the paravertebral venous plexus.骨髓炎作为泌尿外科的一种并发症;特别提及椎旁静脉丛。
Br J Surg. 1958 Jul;46(195):19-28. doi: 10.1002/bjs.18004619505.
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Anterior spinal fusion a preliminary communication on the radical treatment of Pott's disease and Pott's paraplegia.前路脊柱融合术:关于脊柱结核及脊柱结核性截瘫根治术的初步报告
Br J Surg. 1956 Nov;44(185):266-75. doi: 10.1002/bjs.18004418508.
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