Sato Kimiaki, Yamada Kei, Yokosuka Kimiaki, Yoshida Tatsuhiro, Goto Masafumi, Matsubara Tsunemasa, Iwahashi Shoji, Shimazaki Takahiro, Nagata Kensei, Shiba Naoto
Department of Orthopaedic Surgery, Kurume University School of Medicine.
Kurume Med J. 2019 Sep 25;65(3):83-89. doi: 10.2739/kurumemedj.MS653001. Epub 2019 Aug 9.
Although pyogenic spondylitis is an infrequent infection, its incidence is increasing because of the growing number of elderly people and immunocompromised patients. Diagnosis is often difficult and appropriate imaging, blood cultures and/or biopsy are essential in making an early diagnosis. Most of the cases can be treated non-operatively. Surgical treatment is indicated in patients with spinal cord or cauda equine compression with progressive neurological deficits and/or patients who have failed conservative treatment. Early and accurate diagnosis of pyogenic spondylitis is important for timely and effective management, in order to reduce the occurrence of spinal deformity and dysfunction.
尽管化脓性脊柱炎是一种罕见的感染性疾病，但由于老年人和免疫功能低下患者数量的增加，其发病率正在上升。诊断往往很困难，合适的影像学检查、血培养和/或活检对于早期诊断至关重要。大多数病例可以采用非手术治疗。对于出现脊髓或马尾神经受压并伴有进行性神经功能缺损的患者和/或保守治疗失败的患者，需要进行手术治疗。化脓性脊柱炎的早期准确诊断对于及时有效的治疗很重要，以便减少脊柱畸形和功能障碍的发生。
