SURGICAL-TREATMENT OF HEMATOGENOUS VERTEBRAL ASPERGILLUS OSTEOMYELITIS

被引:36
作者
BRIDWELL, KH [1 ]
CAMPBELL, JW [1 ]
BARENKAMP, SJ [1 ]
机构
[1] WASHINGTON UNIV,SCH MED,DIV ORTHOPED SURG,ST LOUIS,MO 63110
关键词
Anterior vertebral debridement; Aspergillus vertebral osteomyelitis; Posterior segmental spinal instrumentation;
D O I
10.1097/00007632-199004000-00006
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Three cases of Aspergillus fumigatas vertebral osteomyelitis failed courses of medical treatment. Each was subsequently treated with anterior vertebral debridement and posterior segmental spinal instrumentation. Despite poor nutritional and immune systems, resolution of the infection and subsequent anterior ankylosis occurred in each patient, with follow-up ranging from 1 to 3 years. If patients with aspergillus vertebral osteomyelitis do not respond to medical treatment, early surgical debridement and stabilization in combination with intravenous amphotericin B can lead to resolution and bony ankylosis. © Lippincott-Raven Publishers.
引用
收藏
页码:281 / 285
页数:5
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