徳島大学 教育・研究者情報データベース(EDB)

1. (英) Hanaoka Naoyoshi

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2. 川﨑 賀照

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3. 酒井 紀典([徳島大学.病院.中央診療施設等.高度先進整形外科診療部])

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4. (英) Nakamura Taro

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5. (英) Nanamori Kazuhisa

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6. (英) Nakamura Eijiro

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7. (英) Uchida Ken

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8. (英) Yamada Hidehiro

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(英) Percutaneous drainage and continuous irrigation in patients with severe pyogenic spondylitis, abscess formation, and marked bone destruction.

(英) The use of percutaneous suction aspiration has recently become viewed as an effective management strategy for pyogenic spondylitis unresponsive to conservative treatment. What remains unclear is whether it can be effective for severe pyogenic spondylitis in which abscess formation or marked bone destruction is present. The authors undertook a study to clarify answers to this question. The authors evaluated clinical and radiographic/neuroimaging data obtained in five patients with severe pyogenic spondylitis, extensive abscesses, and marked bone destruction. These patients had undergone percutaneous drainage and continuous irrigation because open surgery was considered contraindicated in light of their poor general health. The mean period during which continuous irrigation was applied was 9 days (range 7-11 days), and the mean period during which the drainage tube was in place was 19 days (range 13-38 days). All patients suffered from back pain, which was relieved by the percutaneous technique in four patients after a mean of 8 days. The abscesses and inflammation resolved in all patients. Progressive osseous destruction was not observed, and open surgery was performed in only one patient in whom back pain persisted as a result of spinal instability. After an unsuccessful course of conservative treatment, severe pyogenic spondylitis with abscess formation or marked bone destruction was successfully treated using percutaneous drainage and continuous irrigation. Based on their results, the authors believe that this procedure can be used in patients with severe pyogenic spondylitis that was unresponsive to conservative treatment, particularly in those whose general health is poor.

1. (英) Aged
2. (英) Aged, 80 and over
3. (英) Bacterial Infections
4. (英) Bacteroides Infections
5. (英) Bacteroides fragilis
6. (英) Epidural Abscess
7. (英) Follow-Up Studies
8. (英) Humans
9. (英) Lumbar Vertebrae
10. (英) Male
11. (英) Methicillin Resistance
12. (英) Pseudomonas Infections
13. (英) Psoas Abscess
14. (英) Spondylitis
15. (英) Spondylolysis
16. (英) Staphylococcal Infections
17. (英) Suction
18. (英) Therapeutic Irrigation
19. (英) Treatment Outcome

1. (英) Article.Affiliation: Department of Orthopedic Surgery, Oita Nakamura Hospital, Japan. ubucya@hotmail.com

2. (英) Article.PublicationTypeList.PublicationType: Journal Article