Nonspecific purulent osteomyelitis of the spine.
DOI:
https://doi.org/10.26641/2307-0404.2016.3.82018Keywords:
nonspecific osteomyelitis of the spine, mini-invasive surgery, antibiotic therapyAbstract
Recently, in Ukraine a trend to increased incidence of suppurative osteomyelitis of the spine is defined. The main factors contributing to incidence increase is the growth of proportion of population with immunodeficiency and implementation of computer and magnetic resonancetomography in clinical practice. Treatment of suppurative osteomyelitis of the spine should include antibiotic therapy, adequate sanitation of the infectious focus, strict bed rest with exercise therapy. Tactics of surgical treatment combined with antibiotic deescalation therapy with glycopeptide antibiotic – teicoplanin and rehabilitation program which helped to achieve recovery in 23 (37.8%) of patients treated conservatively and in 55 (91%) of the operated patients was proposed.
References
Ardashev IP, Ardasheva EI. [Vertebral infection]. Khirurgiya pozvonochnika. 2009;2:68-78. Russsian.
Goncharov M, Sakovich VP, Danilov EP. [Sur-gical treatment of purulent non-specific diseases of the spine]. Tez. dok. yubileynoy nauchno-prak. konf. "Pole-novskie chteniya". S-Pb. 2006;93-94. Russsian.
Mal'tseva LA, Usenko LV, Mosentsev NF. [Sep-sis: etiology, epidemiology, pathogenesis, diagnostis, intensive therapy]. M: MEDpress-inform. 2005;176. Ukrainian.
Ardashev IP, Goryachev AN, Grigoruk AA, Mu-saev ShM. [Osteomyelitis of the spine]. Kemerovo: GIPP «Kuzbass». 2001;159. Russsian.
Tikhodeev SA, Vishnevskiy AA. [Nonspecific osteomyelitis of the spine]. SPb: Izdatel'skiy dom SPbMAPO. 2004;175. Russsian.
Beronius M, Bergman B, Andersson R. [Vertebral osteomyelitis in Goteborg, Sweden: a retrospective study of patients during 1990-95. Scand. Infect. Dis. 2001;33:527-32.
Castilla JM, Martin V, Rodriguez-Salazar A. Sur-gical treatment of patients with spinal infection. Neuro-cirugia. 2002;13:101-9.
Hadjipavlou AG, Mader JT, Necessary, et al. He-matogenous pyogenic spinal infections and their surgical management.Spine. 2000;25:1668-79.
Schimmer RS, Jeanneret C, Nunley PD, et al. Os-teomyelitis of the cervical spine: a potentially dramatic disease J. Spinal Disord. Tech. 2002;15:110-7.
Nolla JM, Ariza J, Gomez-Vaquero C et al. Spon-taneous pyogenic vertebral osteomyelitis in nondrug users. Semin. Arthritis Rheum. 2002;31:271-8.
Liljenqvist U, Lerner T, Bullmann V, et al. Tita-nium cages in the surgical treatment of severe vertebral osteomyelitis. Eur. Spine J. 2003;12:606-12.
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