Harries T J, Lichtman D M, Swafford A R
J Trauma. 1981 Jan;21(1):75-9. doi: 10.1097/00005373-198101000-00018.
Pyogenic vertebral osteomyelitis may follow any process which initiates bacteremia and should be considered in a differential diagnosis of back pain occurring in the convalescent phase of septicemia. The two cases discussed here, following abdominal stab wounds, illustrate the principles of diagnosis and management of this problem. Diagnosis is based on gradual onset of low back pain with spinal tenderness and paravertebral muscle spasms, without neurologic symptoms. Serial X-rays are helpful, as are technetium phosphate or gallium bone scans. Appropriate antibiotic plus immobilization are recommended.
化脓性脊椎骨髓炎可能继发于任何引发菌血症的过程，在败血症恢复期出现背痛的鉴别诊断中应予以考虑。这里讨论的两例腹部刺伤后的病例，说明了该问题的诊断和处理原则。诊断依据为下背部疼痛逐渐发作，伴有脊柱压痛和椎旁肌痉挛，无神经症状。连续的X线检查以及磷酸锝或镓骨扫描都有帮助。建议使用适当的抗生素并进行固定。
