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- W2375865152 abstract "Objective:To explore the diagnostic and medicinal experience of 14 cases of infected after the lumbar internal fixed surgery.Method:Clinical manifestation, auxiliary examination and therapeutic method of 14 patients with infected after the lumbar internal fixation from Sep 2002 to Nov 2012 were retrospective analyzed. The early clinical manifestations was observed carefully, especially taking care of whether patients have lumbago and back pain, local tenderness or any other unexplained root pains. Auxiliary examination were used according to the follow indexes, such as laboratories-assisted examinations of hemateikon, erythrocyte sedimentation rate(ESR), C-reactive protein, B-ultrasound and MRI imaging changes, and the using of local invasive puncture or growing microorganisms of ulcerate secretion. The treatment plan was selected as following:(1)sensitive antibiotics plus debridement drainage;(2)sensitive antibiotics plus puncture tube drainage;(3) combined using of sensitive antibiotics.Result:For all cases of 14 patients, there were 14 cases having lumbago and back pain, local tenderness and unexplained root pains; 5 cases of meningeal irritation sign; 8 cases having normal or slightly elevated temperature and hemateikon; 14 cases having EST and higher C-reactive protein. For 8 cases of routine MRI inspectors, there were 7 cases having a higher T2 signal; 1 case of an unobvious higher or lower signal. And for 10 cases of inspected patients by B-ultrasound, there were 8 cases having obvious opaque dark area of fluid; 8 cases of liquid puncture; 8 cases of positive growing microorganisms. For all 14 patients, there are 12 cases obtained a treatment from 3 to 6 months, finally, 11 cases were cured, 2 cases became better, and only one case was died. 12 cases obtained a follow-up from 1 to 8 years, 5.16 years for the mean. Conclusion:(1) The persistence pain of waist and back,and unexplained neuropathic root pain of affected extremity are the characteristics of the infection after the lumbar internal fixed surgery.(2) Through the signals of EST and C-reactive protein are non-specific indexes, they are very simple and valid. If the two signals are normal, the probability of infection will be very tiny, while normal temperature and hemateikon cannot exclude the hypotoxicity infection after surgery.(3) In the case of deep infection after the lumbar internal fixed surgery, taking out of inter-fixtures is not a necessary condition and using sensitive antibiotics or debridement drainage are effective therapeutic tools." @default.
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- W2375865152 date "2014-01-01" @default.
- W2375865152 modified "2023-09-23" @default.
- W2375865152 title "The Diagnosis and Treatment of 14 Cases of Lumbar Spinal Internal Fixation Infection" @default.
- W2375865152 hasPublicationYear "2014" @default.
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