Abstract:
STUDY DESIGN:A retrospective study of 30 consecutive cases of pyogenic cervical spine infection, excluding postoperative infections. OBJECTIVE:To establish a real incidence of the disease and the risk factors associated with its occurrence. Furthermore, to evaluate the different surgical approaches dealing with this condition as well as the complications associated with the disease itself and with the different lines of treatment undertaken. SUMMARY OF BACKGROUND DATA:Cervical spondylodiscitis is a quite rare finding regarding the common location of spinal abscesses in the lumbar and thoracic regions. METHODS:Between January 2004 and December 2009, 30 patients suffering from cervical spondylodiscitis underwent surgical debridement and reconstruction in our institution. The mean age at presentation was 64.5 years, and 19 patients were male (63.3%). Clinically, 24 patients (80%) had neck pain. Neurological deficit was found in 12 patients (40%), while septicemia was one of the presenting pictures in 12 patients (40%). Radiologically, epidural abscess was found in 24 patients (80%). Another concomitant noncontiguous discitis in the thoracic and/or lumbar spine was found in 14 patients (47%). All patients in this series underwent surgical debridement followed by antibiotic therapy for 8 to 12 weeks. Mean period of follow-up was 28.4 months. RESULTS:Healing of the inflammation was the rule. From the 12 patients with neurological deficit, 7 (58%) improved clinically after surgery. Three patients (10%) died postoperatively due to septicemia. Metal failure occurred in 1 patient in whom corpectomy, grafting, and ventral plating were performed. Esophagus perforation occurred in 1 patient with history of cancer pharynx and total neck dissection. CONCLUSION:Radical surgical debridement and appropriate antibiotic provide a reliable approach to achieve complete healing of the inflammation in cervical spondylodiscitis. Magnetic resonance imaging of the whole spine is recommended in all cases so as not to miss another infection in the spinal column. Regarding the surgical options, ventral plating after corpectomy for spondylodiscitis should be avoided.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Shousha M,Boehm Hdoi
10.1097/BRS.0b013e31821bfdb2subject
Has Abstractpub_date
2012-01-01 00:00:00pages
E30-6issue
1eissn
0362-2436issn
1528-1159journal_volume
37pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:Retrospective review. OBJECTIVE:To evaluate key risk factors for the development of C5 palsy after cervical corpectomy, including resection of the posterior longitudinal ligament (PLL). SUMMARY OF BACKGROUND DATA:Postoperative C5 palsy is a well-known complication after cervical spine surgery. It is unkn...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001806
更新日期:2017-04-01 00:00:00
abstract:STUDY DESIGN:Prospective cohort study. OBJECTIVE:To examine differences between preoperative and postoperative fear of movement and investigate the relationship between fear of movement and pain, disability and physical health after spinal surgery for degenerative conditions. SUMMARY OF BACKGROUND DATA:Consistent evi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181f8c6f4
更新日期:2011-09-01 00:00:00
abstract:STUDY DESIGN:Prospective cohort study of randomly selected Veterans Affairs out-patients without baseline low back pain (LBP). OBJECTIVE:To determine predictors of new LBP as well as the 3-year incidence of magnetic resonance imaging (MRI) findings. SUMMARY OF BACKGROUND DATA:Few prospective studies have examined cli...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000167536.60002.87
更新日期:2005-07-01 00:00:00
abstract:STUDY DESIGN:Systematic review and meta-analysis. OBJECTIVE:To compare the treatment effects of observational studies versus randomized controlled trials (RCTs) in cervical disc arthroplasty. SUMMARY OF BACKGROUND DATA:RCTs can be logistically challenging and sometimes insufficiently generalizable; well-designed obse...
journal_title:Spine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/BRS.0000000000001377
更新日期:2016-03-01 00:00:00
abstract:STUDY DESIGN:Retrospective cross-sectional study. OBJECTIVE:To evaluate the degree of postoperative pain and patients' satisfaction after lumbar fusion from a nationwide survey in Korea. SUMMARY OF BACKGROUND DATA:There have been few studies that investigated the factors related to patients' satisfaction after spinal...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181c49fd0
更新日期:2010-07-01 00:00:00
abstract:STUDY DESIGN:An in vitro human cadaveric study comparing the effects of anterior and posterior sequential destabilization conditions on thoracic functional unit mechanics was studied. OBJECTIVES:To investigate the biomechanical properties of the human thoracic spine. SUMMARY OF BACKGROUND DATA:Few studies have addres...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200202010-00007
更新日期:2002-02-01 00:00:00
abstract:STUDY DESIGN:Case report. OBJECTIVES:To report primary angiosarcoma of the T8 vertebra, which was successfully managed with en bloc spondylectomy and postoperative chemotherapy. SUMMARY OF BACKGROUND DATA:To the best of our knowledge, the present case is the first documented example of successful treatment of angiosa...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:2004-07-01 00:00:00
abstract:STUDY DESIGN:Retrospective chart review of prospectively collected data from 2 nonrandomized, nonconcurrent cohorts. OBJECTIVE:Early results of 2 lumbar interbody fusion procedures-open posterior lumbar interbody fusion (PLIF) and minimally invasive (extreme lateral interbody fusion [XLIF])-were compared in octogenari...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182023796
更新日期:2010-12-15 00:00:00
abstract:STUDY DESIGN:Prospective evaluation of fibrinogen levels before surgery and after surgery in patients with idiopathic scoliosis undergoing posterior spinal fusion (PSF) and segmental spinal instrumentation (SSI) who received Amicar to decrease perioperative blood loss. OBJECTIVES:To assess a possible association betwe...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000253962.24179.bc
更新日期:2007-02-01 00:00:00
abstract:STUDY DESIGN:A retrospective database study. OBJECTIVE:The goal of this study was to (1) evaluate the trends in the use of electromyography (EMG) for instrumented posterolateral lumbar fusions (PLFs) in the United States and (2) assess the risk of neurological injury following PLFs with and without EMG. SUMMARY OF BA...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001980
更新日期:2017-07-01 00:00:00
abstract:STUDY DESIGN:A cross-sectional study. OBJECTIVE:To identify facet tropism as one of the possible risk factors leading to vertebral rotatory subluxation (VRS). SUMMARY OF BACKGROUND DATA:VRS has been considered as one of the prognostic factors for degenerative scoliosis. Although several risk factors of VRS, including...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000494
更新日期:2014-12-15 00:00:00
abstract:STUDY DESIGN:Fifty-two practices in the East Midlands, United Kingdom, were included. OBJECTIVES:To test the hypothesis that referral for lumbar spine radiography is cost-effective in primary care patients with low back pain of at least 6 weeks' duration compared with usual care in which referral is not routine. SUMM...
journal_title:Spine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00007632-200210150-00021
更新日期:2002-10-15 00:00:00
abstract:STUDY DESIGN:Systematic review of cross-cultural adaptation. OBJECTIVE:To perform a systematic review of cross-cultural adaptations of the Neck Disability Index (NDI) and to give a critical assessment to improve its translation. SUMMARY OF BACKGROUND DATA:The NDI is used to assess functional capacity and physical act...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0000000000000788
更新日期:2015-04-01 00:00:00
abstract::In a prospective single-blind study, 60 patients surgically treated for lumbar disc herniation underwent clinical examination and computed tomography preoperatively and 3 months after surgery. At follow-up (58 patients; median, 31 months; range, 21-37 months), 29 patients had an excellent outcome (51%), 20 improved (3...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199106000-00004
更新日期:1991-06-01 00:00:00
abstract::The evaluation of the clinical utility of the clinical diagnostic tests and procedures, what works in spinal disorders, and for whom and how treatment affects a patient's symptoms and function are key questions of outcomes research. This paper describes the advantages and limitations of the main study approaches used....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199409151-00004
更新日期:1994-09-15 00:00:00
abstract:STUDY DESIGN:In vivo validation during functional loading. OBJECTIVE:To determine the accuracy and repeatability of a model-based tracking technique that combines subject-specific computed tomographic (CT) models and high-speed biplane x-ray images to measure three-dimensional (3D) in vivo cervical spine motion. SUMM...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31820b7e2f
更新日期:2011-03-15 00:00:00
abstract:STUDY DESIGN:Prospective, 2-factor design. The first factor was the group with 2 levels, spine surgery and control. The second factor was timing with 3 levels, baseline, 1-week follow-up, and 6-week follow-up. OBJECTIVES:The purpose of this study was to assess changes in caloric requirements and the body's nutritional...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000134564.24874.10
更新日期:2004-08-15 00:00:00
abstract:STUDY DESIGN:The effect of intense local hypothermia was evaluated in a precision model of spinal canal narrowing and spinal cord injury in rats. The spinal cord injury was cooled with a custom cooling well used over the epidural surface. Basso, Beattie, and Bresnahan (BBB) motor scores and transcranial magnetic motor-...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200009150-00006
更新日期:2000-09-15 00:00:00
abstract:STUDY DESIGN:Study for feasibility of commercially available action cameras in recording video of spine. OBJECTIVE:Recent innovation of the wearable action camera with high-definition video recording enables surgeons to use camera in the operation at ease without high costs. The purpose of this study is to compare the...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001719
更新日期:2017-02-15 00:00:00
abstract:STUDY DESIGN:A population-based, prospective cohort study. OBJECTIVE:To identify demographic, job-related, psychosocial, and clinical factors associated with the use of magnetic resonance imaging (MRI) within 6 weeks from injury (early MRI) among workers' compensation claimants with acute occupational low back pain (L...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31823a03cc
更新日期:2012-09-01 00:00:00
abstract:STUDY DESIGN:Multiple center study to evaluate cerebrospinal fluid (CSF) concentrations of nitric oxide metabolites [NOx] in relation to neurologic severity and prognosis in spinal cord injury (SCI). OBJECTIVE:To examine whether CSF [NOx] correlates with neurologic severity and recovery in SCI. SUMMARY OF BACKGROUND ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181abda1d
更新日期:2009-08-15 00:00:00
abstract::To determine the long-term effects of lower lumbar fusion, 94 subjects were catalogued from medical records. They had a lumbar arthrodesis at the third lumbar level or below and their operations were performed before 1964. Twenty-four were not located and 8 were deceased. Sixty-two subjects (72% of available sample) c...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198703000-00004
更新日期:1987-03-01 00:00:00
abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:The goals of this study were to (A) evaluate preoperative bone quality assessment and intervention practice over time and (B) review the current evidence for bone evaluation in spine fusion surgery. SUMMARY OF BACKGROUND DATA:Deformity spine surgery has demonstrated ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002956
更新日期:2019-06-15 00:00:00
abstract:STUDY DESIGN:A prospective double-blind randomized controlled trial was performed. OBJECTIVE:To assess the efficacy of percutaneous radiofrequency articular facet denervation for low back pain. SUMMARY OF BACKGROUND DATA:Uncontrolled observational studies in patients with low back pain have reported some benefits fro...
journal_title:Spine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00007632-200107010-00003
更新日期:2001-07-01 00:00:00
abstract::A retrospective review of 20 patients treated nonoperatively for burst fractures of the lumbar spine (L2-L5) was performed. All patients were neurologically intact at the time of injury. Follow-up averaged 3.9 years with a range of 2.1 to 9.1 years. Fourteen patients were men and six were women. The average age at inj...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199303000-00002
更新日期:1993-03-01 00:00:00
abstract:STUDY DESIGN:In vivo rodent model. OBJECTIVE:Investigate the effect of systemic corticosteroid administration on soft-tissue inflammation after local delivery of recombinant human bone morphogenetic protein-2 (rhBMP-2). SUMMARY OF BACKGROUND DATA:Corticosteroid use in cases of soft-tissue inflammation associated with...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31827eca09
更新日期:2013-05-01 00:00:00
abstract:STUDY DESIGN:We performed a retrospective study of 668 consecutive patients with congenital spine deformities. OBJECTIVES:To determine the prevalence of Goldenhar conditions in patients with congenital spine deformities, and describe the types of vertebral abnormalities and their treatment. SUMMARY OF BACKGROUND DATA...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000219876.45640.2a
更新日期:2006-06-01 00:00:00
abstract:STUDY DESIGN:Systematic literature review. OBJECTIVE:To determine the options, indications, and outcomes for conventional radiotherapy and radiosurgery for metastatic spine disease. METHODS:Three research questions were determined through a consensus among a multidisciplinary panel of spine oncology experts. A system...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3181b8b6f5
更新日期:2009-10-15 00:00:00
abstract:STUDY DESIGN:Prospective, longitudinal cohort (nonrandomized). OBJECTIVE:To compare thoracoplasty (Th), direct vertebral body derotation (DVBD), and Th and DVBD with respect to correction of the rib prominence and Scoliosis Research Society (SRS) self-image scores in patients undergoing surgery for adolescent idiopath...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31824a4911
更新日期:2012-06-15 00:00:00
abstract:STUDY DESIGN:This is a single-center retrospective case-control study of 7 transfusion-related acute lung injury (TRALI) cases and 28 controls in the pediatric spinal surgery population. OBJECTIVE:To determine the association between maternal transfusion and risk of TRALI in pediatric spinal surgery patients. SUMMARY...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181e3dad2
更新日期:2010-11-01 00:00:00