Lindholm T S, Pylkkänen P
Spine (Phila Pa 1976). 1982 Nov-Dec;7(6):618-22. doi: 10.1097/00007632-198211000-00018.
Thirty-three patients with discitis following removal of an intervertebral disc and treated at the Orthopaedic Hospital of the Invalid Foundation in Helsinki, Finland, are reported. The incidence of discitis in this series extending over a period of 16 years (1960-1975) was 0.75%. The appearance of the disease paralleled mainly the frequency of postoperative infections at the hospital in general. Two-thirds of the patients were treated conservatively, while additional surgical treatment was needed for the others. At average follow-up 7.5 years later, most patients showed advanced symptoms from the back, and increased degenerative changes were observed on roentgenograms. About one-half of the patients had retired from regular work. Preoperative prophylaxis, early diagnosis, and appropriate management of the disease is especially urgent to overcome and inhibit the consequences of postoperative discitis.
本文报道了33例在芬兰赫尔辛基伤残基金会骨科医院接受治疗的椎间盘切除术后椎间盘炎患者。在16年（1960 - 1975年）期间，该系列病例中椎间盘炎的发病率为0.75%。该病的出现主要与医院总体术后感染频率相似。三分之二的患者接受了保守治疗，其余患者则需要额外的手术治疗。平均随访7.5年后，大多数患者出现背部晚期症状，X线片显示退行性改变增加。约一半的患者已从正常工作岗位退休。术前预防、早期诊断和对该病的适当管理对于克服和抑制术后椎间盘炎的后果尤为迫切。
