化脓性脊柱骨髓炎患者的神经功能缺损严重程度和转归：系统评价。
Severity and Outcome of Neurologic Deficits in Patients with Pyogenic Spondylodiscitis: A Systematic Review.
机构信息
Norton Leatherman Spine Center, 210 East Gray Street, Suite 900, Louisville, KY 40202, USA.
Norton Leatherman Spine Center, 210 East Gray Street, Suite 900, Louisville, KY 40202, USA; Department of Orthopaedic Surgery, University of Louisville School of Medicine, 550 South Jackson Street, 1st Floor ACB, Louisville, KY 40202, USA.
出版信息
Orthop Clin North Am. 2022 Jan;53(1):105-112. doi: 10.1016/j.ocl.2021.08.007. Epub 2021 Oct 28.
Patients with advanced pyogenic spondylodiscitis can present with neurologic deficits. However, the prevalence, severity, and outcome of the neurologic deficits are not well known. A systematic review was performed to improve the knowledge of this commonly encountered clinical scenario. The considerable number of severe neurologic deficits in addition to their poor recovery, even after surgical intervention, demonstrates that the early diagnosis of pyogenic spondylodiscitis is crucial. Prompt surgical intervention is likely associated with a greater chance of improvement of neurologic status than nonsurgical treatment.
患有化脓性椎间盘炎的晚期患者可能会出现神经功能缺损。然而，神经功能缺损的患病率、严重程度和预后尚不清楚。进行了系统评价以提高对这种常见临床情况的认识。除了手术干预后恢复不良外，大量严重的神经功能缺损表明化脓性椎间盘炎的早期诊断至关重要。与非手术治疗相比，及时的手术干预可能更有机会改善神经状态。
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