ID 110405
Title Transcription
カノウセイ セキツイエン ニタイスル キョウシカ ツイカンバン ヘルニア テキシュツジュツ PED ノ ジュツゴ セイセキ
Title Alternative
Clinical outcome of percutaneous endoscopic lumbar surgery for pyogenic spondylitis
Author
Nakajima, Daiki The post graduate education center, Tokushima University hospital|Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School
Higashino, Kosaku Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School KAKEN Search Researchers
Terai, Tomoya Orthopedic surgery, Naruto hospital
Sakai, Toshinori Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Takata, Yoichiro Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Yamashita, Kazuta Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School Tokushima University Educator and Researcher Directory
Abe, Mitsunobu Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School KAKEN Search Researchers
Hayashi, Fumio Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School Tokushima University Educator and Researcher Directory
Morimoto, Masatoshi Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School
Henmi, Tatsuhiko Orthopedic surgery, Naruto hospital
Sairyo, Koichi Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
percutaneous endoscopic lumbar discectomy(PED)
local anesthesia
pyogenic spondylitis
Content Type
Journal Article
Description
The number of pyogenic spinal infections has been increasing in the past few decades. The main reason for increasing of cases is increasing of immunosuppressed patients, such as diabetes mellitus, neoplasmic disease, collagen disease or chronic renal failure. Some immunosuppressed patients with pyogenic spinal infection were resistant to an antibiotic treatment and they were not able to undergo major spinal surgery due to their poor general conditions. Percutaneous endoscopic lumbar discectomy(PED)is performed under local anesthesia and requires an8mm skin incision. PED is the least invasive disc surgery procedure, especially for poor general condition patients with pyogenic lumbar spondylitis. The purpose of this study is to evaluate effect of PED procedure for pyogenic spondylitis. Four male and one female pyogenic spondylitis underwent PED surgery under local anesthesia. The mean age was67.0±12.9(47-77). The number of complications for 4 patients is as follows;2malignant tumor,3hypertension,1diabetes mellitus,1liver cirrhosis and 1 Parkinson disease. Causative bacteria were identified in the blood or the biopsy specimens. We performed the debridement of the infected disc and of the partial endplate in the lumbar spine. Approximately3000- 5000milliliter saline was used for irrigation. The mean day from diagnosis to surgery was 12.6 days(11-15 days). Post operative courses of all patients were successful. The mean day to turn CRP negative after surgery is52.2 days(38-110 days). There was no complication and no additional surgery after debridement using PED procedure. The PED procedure is superior to other treatments in terms of directly debridement and lavage the infected sites. The most advantage of PED procedure is able to directly observe on clear vision under endoscope. Moreover, PED surgery can be safely performed under local anesthesia and requires the least invasion. This procedure can be applied to the poor general condition’s patients.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
72
Issue
5-6
Start Page
213
End Page
216
Sort Key
213
Published Date
2016-12-25
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital
Medical Sciences