Diagnosis and treatment of postoperative intervertebral infectio.
- Author:
Xi-yang WANG
1
;
Jian-zhong HU
;
Wen-he LIU
;
Kang-hua LI
Author Information
1. Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha 410008, China. wqlwqwxy@163.com
- Publication Type:Journal Article
- MeSH:
Adult;
Anti-Bacterial Agents;
administration & dosage;
Cortisone;
administration & dosage;
Diskectomy;
Female;
Humans;
Intervertebral Disc Displacement;
surgery;
Lumbar Vertebrae;
Male;
Middle Aged;
Retrospective Studies;
Surgical Wound Infection;
diagnosis;
drug therapy
- From:
Journal of Central South University(Medical Sciences)
2006;31(1):111-113
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To retrospectively explore the diagnosis and treatment of postoperative lumbar intervertebral disc infection.
METHODS:Twelve patients who suffered from postoperative lumbar intervertebral disc infection between April 1995 and September 2004 were confirmed doubtlessly by the diagnosis. They were treated with early immobilization combined with early and sufficient antibiotics and adequate corticosteroid. Patients with severe symptoms were managed by percutaneous puncture and washing discectomy such as rising temperature and perivertebral muscle spasm besides nostalgia, and early debridement of all necrotic tissue was done.
RESULTS:Six were healed by non-operation and operation in the other 6. All had gotten locomotion with corset after the operation for 6-8 weeks and were followed-up from 6 months to 3 years. They have achieved excellent outcomes.
CONCLUSION:When a postoperative disc space infection occurs, early diagnosis and treatment should be undertaken to achieve excellent outcomes.
