Campbell David H, Dowling Thomas J, Hah Raymond, Alluri R Kiran, Wang Jeffrey C
Department of Orthopedic Surgery, Keck School of Medicine, USC Spine Center, University of Southern California, Los Angeles, 1450 San Pablo St #5400, Los Angeles, CA 90033, United States.
N Am Spine Soc J. 2023 Nov 22;16:100293. doi: 10.1016/j.xnsj.2023.100293. eCollection 2023 Dec.
The successful operative management of spinal infections necessitates a thoughtful approach. Ideal treatment combines the universal goals of any spine operation, which are decompression of the neural elements and stabilization of instability, with source control and eradication of infection. Techniques to treat infection have evolved independently and alongside advances in implant technology and surgical techniques. This review will seek to outline current thinking on approaches to both primary and secondary spinal infections.
脊柱感染的成功手术治疗需要深思熟虑的方法。理想的治疗方法将任何脊柱手术的通用目标(即神经减压和不稳定的稳定)与感染源控制和感染根除相结合。治疗感染的技术已经独立发展,并随着植入技术和手术技术的进步而发展。本综述旨在概述目前关于原发性和继发性脊柱感染治疗方法的思考。