Posterior debridement for the treatment of iatrogenic purulent lumbar spinal infection.
- Author:
Bi-Feng LIU
1
;
Ning YAN
;
Tie-Sheng HOU
;
Yi-Fan KANG
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Debridement; methods; Diagnosis, Differential; Female; Humans; Lumbar Vertebrae; surgery; Male; Middle Aged; Spondylitis; diagnosis; surgery; Suppuration
- From: China Journal of Orthopaedics and Traumatology 2011;24(4):339-341
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo discuss diagnosis and treatment of iatrogenic purulent lumbar spinal infection.
METHODSFrom December 2006 to January 2010, 4 patients with iatrogenic purulent lumbar spinal infection were treated with posterior debridement. There were 2 males and 2 females, ranging in age from 50 to 66 years (respectively in 52, 66, 58, 50 years); in course of disease from 2 weeks to 2.5 months (respectively in 21, 14, 60, 75 days ). All patients had fever, lumbago, local tenderness and limited lumbar activity before operation. White blood cell count (WBC), erythrocyte sedimentation rate (ESR) were abnormal. The clinical effects were evaluated by symptoms and laboratory examination.
RESULTSSymptoms of lumbago and fever vanished in 4 patients, of which wounds were primary healing without complications. The patients were followed up for 3 months, no infection (WBC, C-reactive protein and ESR were normal) and lumbar instability were found.
CONCLUSIONIatrogenic purulent lumbar spinal infection can be diagnosed according to course of disease, clinical symptoms and signs, imaging finding. In the items, magnetic resonance imaging finding have necessarily specificity, once finding abscess-formation, will promptly operate.