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Updated: May 9, 2026
02:41
Acupoint Catgut Embedding for Treatment of Chronic Pelvic Pain Due to the Sequelae of Pelvic Inflammatory Disease
Published on: May 3, 2024
Chronic osteomyelitis of the pelvis
Rishikesan Ramaesh1, Mark S Gaston, A Hamish R W Simpson
1Department of Orthopaedic Surgery, University of Edinburgh, Edinburgh, United Kingdom. rishi.ramaesh@gmail.com
Acta Orthopaedica Belgica
|August 10, 2013
Summary
Pelvic osteomyelitis often involves unusual pathogens and affects neurologically compromised individuals. Management requires broad-spectrum antibiotics and tailored surgical approaches based on host type for successful outcomes.
Area of Science:
- Infectious Diseases
- Orthopedic Surgery
- Medical Microbiology
Background:
- Pelvic osteomyelitis is a challenging bone infection.
- Understanding its unique etiological factors and treatment responses is crucial.
Purpose of the Study:
- To investigate the causes and treatment outcomes of pelvic osteomyelitis.
- To compare outcomes in neurologically compromised versus non-compromised patients.
Main Methods:
- Retrospective analysis of 20 patients meeting specific diagnostic criteria.
- Data collection included host status (Cierny-Mader classification), neurological status, causative organisms, sensitivities, treatment, and outcomes.
Main Results:
- Frequent occurrence of unusual organisms and a high incidence (45%) of neurological compromise.
- Significant differences in pathogens, treatment, and outcomes between paraplegic and non-paraplegic patients.
- High mortality and squamous cell carcinoma incidence observed.
Conclusions:
- Pelvic osteomyelitis necessitates distinct antibiotic strategies, favoring broad-spectrum agents over long bone osteomyelitis.
- Surgical resection success rates are comparable to long bone infections, with marginal resection for Type A and wide resection for Type B hosts.
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