Frederickson B, Yuan H, Olans R
Clin Orthop Relat Res. 1978 Mar-Apr(131):160-7.
A rational program of diagnosis and therapy can be recommended on the basis of the results in a series of 34 cases of pyogenic vertebral osteomyelitis. The diagnosis can be made on history, physical examination, sedimentation rate, bone scan and X-ray. Blood and urine cultures should be done and may be of value. Biopsy of the area confirms the diagnosis and establishes adequate and specific antibiotic therapy. Bed rest is needed to relieve the patient's initial discomfort and to prevent deformity. Immobilization is most important in those patients with greater than 50% vertebral destruction for the first 3 months in order to prevent deformity.
基于34例化脓性脊椎骨髓炎患者的治疗结果，可推荐合理的诊断和治疗方案。诊断可依据病史、体格检查、血沉、骨扫描和X线检查做出。应进行血培养和尿培养，这可能具有重要价值。对病变部位进行活检可确诊并确定适当的特异性抗生素治疗方案。需要卧床休息以缓解患者最初的不适并防止畸形。对于椎体破坏超过50%的患者，最初3个月进行固定最为重要，以防止畸形。
