[Research and progress on diagnosis and treatment of intervertebral space infection]

Zhongguo Gu Shang. 2016 Sep 25;29(9):870-874. doi: 10.3969/j.issn.1003-0034.2016.09.020.
[Article in Chinese]

Abstract

As the disc surgery were extensively developed, the incidence of intervertebral space infection was significantly increased. Due to a lack of specificity, early diagnosis is difficult and it is prone to misdiagnose. Intervertebral disc puncture sampling microorganism culture is a gold standard of antibiotic selection, but the positive detection rate needs to be improved. At present, different medical institutions have different opinious in epidemiology, treatment experiences, the choice of antibiotic treatment, the course of treatment and the way of operation. In recent years, magnetic resonance imaging, fluorine deoxidization glucose positron emission computed tomography scanning, the imaging application mediated percutaneous intervertebral disc, spinal puncture percutaneous endoscopic debridement and lavage drainage and percutaneous internal fixation combined with anterior posterior incision provide more choices for early diagnosis and treatment. Intervertebral infection should attract more attention to the prevention, early diagnosis, early specific pathogens. Doctors' experience and patients' actual situation should be considered when choosing a appropriate treatment. During the treatment, we should be closely monitored laboratory indexes and timely adjust plan of the treatment, and shorten the treatment time and prevent other complications through the auxiliary treatment.

Keywords: Infection; Diagnosis; Intervertebral space; Review literature; Treatment.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Endoscopy
  • Humans
  • Intervertebral Disc*
  • Lumbar Vertebrae
  • Surgical Wound Infection / diagnosis*
  • Surgical Wound Infection / therapy*

Substances

  • Anti-Bacterial Agents