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Updated: Jul 9, 2026

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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
4.9K
型脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱脊柱
Yusoff Norisyam1, Thurairajasingam Jayamalar1, Choong Hoon Foo2
1Department of Orthopaedic, Hospital Sultan Ismail, Johor Bharu, Malaysia.
BMJ case reports
|December 21, 2023
概括
本案例研究突出显示了一种罕见的沙门氏菌脊髓感染在一个免疫能力强的个体. 通过组织分析进行早期诊断对于治疗这种具有挑战性的发烧性脊髓瘤炎至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 脊柱外科手术 脊柱外科手术
- 微生物学 微生物学
背景情况:
- 脊髓感染,包括发热性脊髓炎,存在非特异性症状,使得诊断具有挑战性.
- 确定的诊断和治疗依赖于通过培养和组织病理学进行组织分析.
研究的目的:
- 在C5/C6脊椎中报告一种单一的沙门氏菌发烧性脊髓炎病例.
- 讨论来自非流行地区的免疫能力强的患者的诊断挑战和影响.
主要方法:
- 一个患有机械部疼痛的病人的案例介绍.
- 诊断工作包括成像,血液培养和组织分析 (培养和组织病理学).
主要成果:
- 在C5/C6确认了沙门氏菌发烧性脊髓炎,同时出现沙门氏菌细菌性血症.
- 患者具有免疫能力,来自非流行地区,没有确定的来源或先前的胃肠道症状.
- 临床表现包括影响日常活动的显著机械部疼痛,但没有神经学缺陷.
结论:
- 沙门氏菌脊髓炎可以发生在没有典型风险因素的免疫能力强的个体中.
- 通过组织分析进行早期和准确的诊断对于有效管理脊柱感染至关重要.
- 这一案例强调了在脊髓感染中考虑不寻常的病原体的必要性,即使在非流行环境中也是如此.
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Vertebral Column: Regions and Curvature
The vertebral column or spine is a flexible column that supports the head, neck, and body and allows for their movements. It also protects the spinal cord.
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form the...
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form the...
General Structure of a Vertebra
A typical vertebra, with the exception of the sacrum and coccyx, consists of a body, a vertebral arch, and seven different projections termed processes. The anterior portion of the vertebrae, the body, supports about half the body’s weight. The vertebral bodies progressively increase in size and thickness from the cervical region to the lumbar region of the vertebral column. The intervertebral discs present between the bodies of adjacent vertebrae firmly unites them, forming a continuous column.
The Thoracic Cage: Sternum
The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid process.
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid process.
Structural Joints: Cartilaginous Joints
As the name indicates, at a cartilaginous joint, the adjacent bones are united by cartilage, a tough but flexible type of connective tissue. Unlike synovial joints, these types of joints lack a joint cavity and involve bones joined together by either hyaline cartilage or fibrocartilage.
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary or...
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary or...
Articulations of the Vertebral Column
In addition to being held together by the intervertebral discs, adjacent vertebrae also articulate with each other at synovial joints formed between the superior and inferior articular processes called zygapophysial joints (facet joints). These are plane joints that provide for only limited motions between the vertebrae. The orientation of the articular processes at these joints varies in different regions of the vertebral column and serves to determine the types of motions available in each...
Muscles of the Vertebral Column
The back muscles that lie deep into the thoracolumbar fascia are called intrinsic or true back muscles. These muscles are divided into four layers: superficial, intermediate, deep, and deepest layers.
Superficial Layer:
The superficial layer consists primarily of the splenius muscles, which include the splenius capitis and splenius cervicis. These muscles are mainly responsible for the head and cervical spine movements, including extension, rotation, and lateral bending. The splenius capitis...
Superficial Layer:
The superficial layer consists primarily of the splenius muscles, which include the splenius capitis and splenius cervicis. These muscles are mainly responsible for the head and cervical spine movements, including extension, rotation, and lateral bending. The splenius capitis...

