Pyogenic Cervical Vertebral Osteomyelitis. Surgical Treatment.
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概要
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We heve treated 4 cases with pyogenic cervical spondylitis associated with paralysis over the last 5 years. Three males and 1 female were treated, ranging in age from 56 to 74 years. Anterior spinal fusion was carried out in 2 cases, and anterior and posterior spinal fusion were concomitantly used in 2 cases. Magnetic resonance imaging (MRI) was very useful in deciding on the surgical technique because it clearly showed the range of destruction of the vertebral body, degree of oppression of dural duct and range of extension of inflammation. Early favorable prognosis was obtained in 2 cases which had anterior spinal fusion of 3 intravertebral spaces plus the combined use of posterior spinal fusion. Kyphosis was not observed, and favorable osteorrhaphy was obtained.
- 西日本整形・災害外科学会の論文
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