脊椎椎体・椎間板炎に対する外科的治療

概要

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We present our experience with the surgical treatment for spondylodiscitis. Materials and methods: We present 17 patients with spondylodiscitis, who were treated through surgical intervention. They were 8 men and 9 women, with ages ranging from 26 to 85. Among all 17 cases, 12 patients were pyogenic spondylodiscitis and 5 patients were tuberculosus spondylodiscitis. 2 patients presented tetraparesis, 11 patients presented paraparesis, and 1 patient presented hemiparesis. Among the 17 patients, 5 patients were treated by surgical intervention with instrumentation and 6 patients were treated by emergency operation. Results: 8 patients turned out to be "cured, " 7 patients "improved", 2 patients "no change", while we did not experience any patients with "poor". Conclusion: The aggressive treatment of spondylodiscitis is indicated when conservative means are insufficient. We have to discuss the use of instrumentation for acute staged pyogenic spondylodiscitis more, in the future.
日本脊髄外科学会の論文