COMPLEX TREATMENT OF PATIENTS WITH SPINE OSTEOMYELITIS
https://doi.org/10.14531/ss2009.2.79-82
Abstract
Objective. To assess the efficacy of regional lymphotropic antibacterial therapy and anterior stabilization of the involved segment in the treatment of patients with spinal osteomyelitis.
Material and Methods. Regional lymphotropic therapy and surgical intervention including resection of the osteomyelitis locus, replacement of the cavity with autograft, and anterior stabilization of the spine were performed in 12 patients. Dynamics of the process was controlled radiographically.
Results. Regional lymphotropic antibacterial therapy proved to facilitate decrease in erythrocyte sedimentation rate, leucocytosis, and pain syndrome. Spinal fixation provided conditions for the graft implantation, and allowed early loading. Inflammatory process was arrested and spinal fusion was achieved in all patients.
Conclusion. Suggested multimodal treatment of patients with hematogenous osteomyelitis provides orthopaedic correction of kyphotic deformity if present, and rigid fixation of the operated segment, creates favorable conditions for fusion and remodeling of autografts without resorption, and prevents possible inflammatory complications in postoperative period.
About the Authors
Artyom Evgenyevich Krivoshein
Clinical Medical Surgery Center, Omsk
Russian Federation
Russian Federation
Anatoly Nikolayevich Goryachev
Clinical Medical Surgery Center, Omsk
Russian Federation
Russian Federation
Irina Nikolayevna Putalova
Omsk State Medical Academy
Russian Federation
Russian Federation
Sergey Nikolayevich Tumorin
Clinical Medical Surgery Center, Omsk
Russian Federation
Russian Federation
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Review
For citations:
Krivoshein A.E., Goryachev A.N., Putalova I.N., Tumorin S.N. COMPLEX TREATMENT OF PATIENTS WITH SPINE OSTEOMYELITIS. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2009;(2):079-082. (In Russ.) https://doi.org/10.14531/ss2009.2.79-82
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