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脊柱不稳定在治疗不稳定感染性骨折中的作用

The Role of Spinal Instability in Treating Unstable Infected Fractures.

作者信息

Garda James, Shah Prashant, Vance Awais Z

机构信息

Neurosurgery, Baylor College of Medicine, Temple, USA.

Cardiothoracic Surgery, Baylor Scott and White Medical Center - Temple, Temple, USA.

出版信息

Cureus. 2025 Feb 13;17(2):e78966. doi: 10.7759/cureus.78966. eCollection 2025 Feb.


DOI:10.7759/cureus.78966
PMID:40092012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11910385/
Abstract

Vertebral (spinal) osteomyelitis is a rare spinal infection of the vertebral column that can be caused by bacteria or fungi. Though the initial treatment for all patients with vertebral osteomyelitis consists of antibiotics, surgery can be indicated in certain cases, such as in the presence of spinal instability or when antibiotics are not successfully eliminating the infection. Achieving spinal stability can be an important component of treating fracture-related infections, as instability can cause local damage and disrupt the healing process. The authors present the case of a patient with vertebral osteomyelitis that was not resolving with the administration of antibiotics in the context of a spinal fracture. A minimally invasive surgery was performed to achieve spinal stability and the infection soon resolved with antibiotics.

摘要

脊椎骨髓炎是一种罕见的脊柱感染疾病,可由细菌或真菌引起。虽然所有脊椎骨髓炎患者的初始治疗都包括使用抗生素,但在某些情况下,如存在脊柱不稳定或抗生素未能成功消除感染时,可能需要进行手术。实现脊柱稳定是治疗骨折相关感染的重要组成部分,因为不稳定会导致局部损伤并干扰愈合过程。作者介绍了一例脊椎骨髓炎患者的病例,该患者在脊柱骨折的情况下使用抗生素治疗后病情未得到缓解。通过微创手术实现了脊柱稳定,随后感染在使用抗生素后很快得到解决。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ec/11910385/52a77e4e40ba/cureus-0017-00000078966-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ec/11910385/7c6f68e3b02a/cureus-0017-00000078966-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ec/11910385/79c69924ab0f/cureus-0017-00000078966-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ec/11910385/3f8d955ea1f1/cureus-0017-00000078966-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ec/11910385/52a77e4e40ba/cureus-0017-00000078966-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ec/11910385/7c6f68e3b02a/cureus-0017-00000078966-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ec/11910385/79c69924ab0f/cureus-0017-00000078966-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ec/11910385/3f8d955ea1f1/cureus-0017-00000078966-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ec/11910385/52a77e4e40ba/cureus-0017-00000078966-i04.jpg

相似文献

[1]
The Role of Spinal Instability in Treating Unstable Infected Fractures.

Cureus. 2025-2-13

[2]
Posterior fixation without debridement for vertebral body osteomyelitis and discitis.

Neurosurg Focus. 2014-8

[3]
Corpectomy followed by the placement of instrumentation with titanium cages and recombinant human bone morphogenetic protein-2 for vertebral osteomyelitis.

J Neurosurg Spine. 2007-1

[4]
Posterior Fixation Without Debridement for Vertebral Body Osteomyelitis and Discitis: A 10-Year Retrospective Review.

Int J Spine Surg. 2023-12-26

[5]
Current knowledge of vertebral osteomyelitis: a review.

Eur J Clin Microbiol Infect Dis. 2025-2

[6]
Treatment Guideline for Patients with Native Culture-negative Pyogenic Vertebral Osteomyelitis.

Clin Orthop Relat Res. 2022-1-1

[7]
[Minimal invasive surgery-transforaminal lumbar interbody fusion combined with expanded pedicle screw through Mast Quadrant channel for the treatment of senile pyogenic discitis and vertebral osteomyelitis].

Zhongguo Gu Shang. 2019-10-25

[8]
Antibiotic-impregnated polymethylmethacrylate strut graft as a treatment of spinal osteomyelitis: case series and description of novel technique.

J Neurosurg Spine. 2020-5-8

[9]
Direct lateral retroperitoneal approach for the surgical treatment of lumbar discitis and osteomyelitis.

Neurosurg Focus. 2014-8

[10]
[Anterolateral decompression and three column reconstruction through posterior approach for treatment of unstable thoracolumbar fracture].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2013-7

本文引用的文献

[1]
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Antibiotics (Basel). 2022-11-29

[2]
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Infection. 2021-10

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Unfallchirurg. 2017-2

[9]
A comparison of Staphylococcus aureus biofilm formation on cobalt-chrome and titanium-alloy spinal implants.

J Clin Neurosci. 2016-9

[10]
Neurologic Complications, Reoperation, and Clinical Outcomes After Surgery for Vertebral Osteomyelitis.

Spine (Phila Pa 1976). 2016-2

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