URGENT SPECIALIZED MEDICAL CARE TO PATIENTS WITH NON-SPECIFIC INFECTION OF THE SPINE
https://doi.org/10.14531/ss2015.4.70-79
Abstract
Objective. To analyze the effectiveness of surgical, including urgent, treatment of patients with non-specific infection of the spine.
Material and Methods. A retrospective analysis of 93 hospitalized patients with non-specific infection of the spine was carried out. Eleven patients underwent the course of conservative therapy, and 82 - surgical treatment, out of them 49 for urgent indications. Clinical and radiographic outcomes were followed from 6 months to 3 years.
Results. Forty one patients had neurological disorders of varying severity on admission, complete recovery after treatment was observed in 28 of them, partial - in eight, an absence of changes - in two patients; three patients died within a period of 1 to 7 days after surgery. In all survived patients, the treatment resulted in definitive stabilization of affected segments due to bone block formation which occurred at different times; three patients were reoperated on for postoperative deep surgical site infections, one - for broken rod.
Conclusion. The best option of surgery based on lesion localization, infectious process extent and patient’s physical status, as well as an adequate antimicrobial therapy are the predictors of success in the treatment of non-specific infectious spondylitis.
About the Authors
Aleksandr Kaisinovich Dulaev
St. Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine; First Pavlov State Medical University of St. Petersburg
Russian Federation
Russian Federation
Znaur Yuryevich Alikov
First Pavlov State Medical University of St. Petersburg
Russian Federation
Russian Federation
Natalya Mikhailovna Dulaeva
Federal Centre of Hearth, Blood, and Endocrinology n.a. V.A. Almazov, St. Petersburg, Russia
Russian Federation
Russian Federation
Dakhir Nurmagometovich Abukov
First Pavlov State Medical University of St. Petersburg
Russian Federation
Russian Federation
Mikhail Aleksandrovich Mushkin
First Pavlov State Medical University of St. Petersburg
Russian Federation
Russian Federation
Denis Valeryevich Goranchuk
First Pavlov State Medical University of St. Petersburg
Russian Federation
Russian Federation
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Review
For citations:
Dulaev A.K., Alikov Z.Yu., Dulaeva N.M., Abukov D.N., Mushkin M.A., Goranchuk D.V. URGENT SPECIALIZED MEDICAL CARE TO PATIENTS WITH NON-SPECIFIC INFECTION OF THE SPINE. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2015;12(4):70-79. (In Russ.) https://doi.org/10.14531/ss2015.4.70-79
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