Spinal osteomyelitis

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Abstract

Experience in diagnosis and treatment of 112 patients with spine osteomyelitis is presented. In 8 patients cervical spine, in 23 patients thoracic spine and in 81 patients lumbar spine was involved. Neurological deficit was observed in 45 (40.2%) patients. Forty seven (42%) patients underwent conservative and 65(58%) surgical treatment. Conservative treatment included intraarterial injection of antibacterial drugs. Surgical treatment consisted of radical resection of the osteomyelitis focus followed by stabilization of the spine with autografts. Long-term results were evaluated in terms from 1 to 20 years. In all patients the formation of bone block and regression of neurological symptoms was observed.

 

About the authors

I. P. Ardashev

Kemerovo State Medical Academy

Author for correspondence.
Email: info@eco-vector.com
Russian Federation

G. A. Plotnikov

Kemerovo State Medical Academy

Email: info@eco-vector.com
Russian Federation

A. A. Grigoruk

Kemerovo State Medical Academy

Email: info@eco-vector.com
Russian Federation

V. N. Drobotov

Kemerovo State Medical Academy

Email: info@eco-vector.com
Russian Federation

R. F. Gazizov

Kemerovo State Medical Academy

Email: info@eco-vector.com
Russian Federation

Sh. M. Musaev

Kemerovo State Medical Academy

Email: info@eco-vector.com
Russian Federation

E. I. Ardasheva

Kemerovo State Medical Academy

Email: info@eco-vector.com
Russian Federation

References

Supplementary files

Supplementary Files
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1. JATS XML
2. Rice. Fig. 1. MRI of patient K. a — before treatment: osteomyelitis of L5-S1 vertebrae with presacral abscess; b — 1.5 years after conservative treatment: spontaneous block at the level of L5-S1 vertebrae.

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3. Rice. Fig. 2. Spondylograms of patient B. a — before surgery: destruction of C4-6 vertebrae; b — 10 years after the operation: bone block of C4~7 vertebrae.

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4. Rice. Fig. 3. MRI patient I. a — before surgery: destruction of T4~6 vertebral bodies, prevertebral abscess; b — 2 years after surgery: bone block of T4-6 vertebrae.

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