用抗生素加载的水泥间隔器临时使用,用于感染宫融合的患者

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Yen-Chun Chiu¹, Shih-Chieh Yang², Yu-Hsien Kao²

¹Department of Orthopaedic Surgery, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan; School of Chinese Medicine for Post Baccalaureate, College of Medicine, I-Shou University, Kaohsiung, Taiwan.

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概括

手工制作的充满抗生素的水泥间隔器在前椎切除和融合 (ACDF) 后有效地治疗了深部椎脊椎感染. 这种两阶段的方法消除了感染,改善了患者的治疗结果,为复杂病例提供了可行的替代方案.

科学领域:

整形外科手术整形外科手术
传染病管理传染病管理
脊柱融合并发症脊柱融合并发症

背景情况:

在前椎切除和融合 (ACDF) 之后的术后深层感染对脊椎外科医生来说是一个重大挑战.
对于这些复杂的感染,目前的管理策略往往很苛刻.

研究的目的:

评估使用手工制造的带抗生素的水泥间隔器在ACDF后治疗深脊椎感染的有效性和可行性.
评估与这种治疗方式相关的临床结果和并发症率.

主要方法:

对4名患有深度宫感染的患者进行了回顾性研究,这些患者在ACDF治疗后使用了带有抗生素的水泥间隔器.
收集的数据包括实验室结果,疼痛评分 (视觉模拟尺度),并发症,并发症,神经状况,部残疾指数,日本整形医学协会评分和Odom标准.

主要成果:

在所有4名患者中,完全消除了感染.
在外科手术1年后,视觉模拟尺度得分 (7.5至1.25) 和部残疾指数 (54%至6%) 显著改善.
没有发生神经系统恶化或骨移植移位等严重并发症;所有患者根据Odom标准获得了很好的结果.

结论:

手工制作的充满抗生素的水泥间隔器是ACDF后深脊椎感染的有效和可行的治疗方法.
这种两阶段的手术技术为管理这些具有挑战性的术后并发症提供了有希望的替代方案,从而带来了良好的临床结果.

关键词:

异构型的杆骨头移植骨头移植前子宫椎切除术和融合术抗生素水泥间隔器抗生素水泥间隔器深度感染的感染.

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