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十三次封闭式负压引流治疗难治性胸腰椎脊柱感染:一例报告

Treatment of refractory thoracolumbar spine infection by thirteen times of vacuum sealing drainage: A case report.

作者信息

Wu Jun-Jie, Chang Zheng-Qi

机构信息

Department of Orthopedics, 960 Hospital of PLA, Jinan 250031, Shandong Province, China.

出版信息

World J Orthop. 2025 Mar 18;16(3):101073. doi: 10.5312/wjo.v16.i3.101073.

Abstract

BACKGROUND

A case study of multiple distinct levels of skipped thoracolumbar spine infection was reported in which 13 successful vacuum sealing drainage (VSD) surgeries were treated.

CASE SUMMARY

The patient underwent a total of 13 procedures within our medical facility, including five performed under local anesthesia and eight performed under general anesthesia. The source of the ailment was ultimately identified as . After the last procedure, the patient's symptoms were alleviated, and the recovery process was satisfactory. Three months post-operation, the Japanese Orthopaedic Association scores had improved to 100%. Imageological examination revealed a satisfactory position of internal fixation, and the abnormal signals in the vertebral body and intervertebral space had been eliminated when compared to the pre-operative results.

CONCLUSION

The study demonstrates that the extreme lateral approach debridement combined with multiple VSD operations is a secure and successful method of treatment for recurrent spinal infection, providing an alternative to traditional surgery.

摘要

背景

报道了一例多节段胸腰椎跳跃性脊柱感染的病例研究,其中13例患者接受了成功的封闭式负压引流(VSD)手术治疗。

病例摘要

该患者在我们医疗机构共接受了13次手术,其中5次在局部麻醉下进行,8次在全身麻醉下进行。疾病的根源最终被确定为……。最后一次手术后,患者症状缓解,恢复过程令人满意。术后三个月,日本骨科协会评分提高到了100%。影像学检查显示内固定位置满意,与术前结果相比,椎体和椎间隙的异常信号已消除。

结论

该研究表明,极外侧入路清创联合多次VSD手术是复发性脊柱感染安全且成功的治疗方法,为传统手术提供了一种替代方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e1d/11924023/2093150bca76/101073-g001.jpg

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