An Analysis of Patients with Single and Combined Pyogenic Spinal Infections.
10.4055/jkoa.2008.43.5.560
- Author:
Jong Heon KIM
1
;
Seung Pyo SUH
;
Chang Nam KANG
;
Ye Soo PARK
Author Information
1. Department of Orthopaedic Surgery, Guri Hospital, Hanyang University College of Medicine, Seoul, Korea. hyparkys@hanyang.ac.kr
- Publication Type:Original Article
- Keywords:
Pyogenic spinal infection;
Combined infection
- MeSH:
Back Pain;
Female;
Fever;
Humans;
Male;
Prognosis;
Treatment Outcome
- From:The Journal of the Korean Orthopaedic Association
2008;43(5):560-566
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Pyogenic spinal infection encompasses a broad range of clinical entities, treatment and prognosis. We compared the symptoms and treatment efficacy of patients with single and combined spinal infections. MATERIALS AND METHODS: Between June 2001 and November 2006, 30 patients with pyogenic spinal infections were treated in our hospital and outcomes were evaluated through ESR, CRP, and clinical improvement. Groups 1 and 2 represented patients with single lesions and patients with combined lesions, respectively. RESULTS: Group 1 included 7 men and 8 women, and the preoperative mean ESR and CRP were 62.7 mm/hr and 5.7 mg/dl. The most common clinical presentation was back pain. Nine patients in group 1 underwent operation, and two underwent instrumentation. Group 2 included 4 men and 11 women, and the preoperative mean ESR and CRP were 78.5 mm/hr and 16.7 mg/dl. The most common clinical presentations were back pain and fever. Thirteen patients in group 2 underwent operation, and six underwent instrumentation. There were more underlying diseases in group 2. CONCLUSION: There were more underlying diseases and higher preoperative inflammatory-reactive laboratory findings in patients with combined spinal infections. Careful attention must be directed to treatment in order to secure favorable clinical outcomes in patients with combined infections.
