Minimally Invasive Surgical Treatment for Tuberculous Spondylodiscitis
Minimally Invasive Surgical Treatment for Tuberculous Spondylodiscitis
复制标题
DOI：
10.1055/s-0029-1220685
复制
发表时间：
2009-10-01
影响因子：
--
通讯作者：
Minami, A.
中科院分区：
文献类型：
--
作者：
Ito, M.;Sudo, H.;Minami, A.
本文报告3例结核性脊椎炎。所有患者均患有严重的背痛或腰痛。进行后外侧内镜清创和冲洗，然后在受影响部位保留引流管。当椎旁肌周围发现广泛的冷水肿时，同时进行额外的穿刺和引流。所有患者术后疼痛立即缓解。该技术可有效地快速缓解疼痛，并在结核性脊柱炎的早期阶段获得神经系统的解决方案，也可能是一种很好的方法，以防止进一步的椎体塌陷和脊柱后凸畸形，如Gibbus椎骨。
The authors report the cases of 3 patients with tuberculous spondylodiscitis. All patients suffered from severe back or low back pain. Posterolateral endoscopic debridement and irrigation were performed followed by retention of a drainage tube at the affected sites. Additional puncture and drainage were conducted at the same time when extensive cold abscesses were identified around the paravertebral muscle. All patients experienced immediate pain relief postoperatively. This technique is effective for rapid pain relief and in obtaining neurological resolution for patients in the early stages of tuberculous spondylodiscitis and may also be a good method for preventing further vertebral collapse and kyphotic spinal deformity such as Gibbus vertebrae.