Rehabilitation Outcomes in Spinal Abscess Patients With and Without a History of Intravenous Substance Abuse

Raut, Namrata; Nagar, Vittal R.; Springer, Joe E.; Sawaki, Lumy; Salles, Sara

doi:10.1097/phm.0000000000000865

Cited by 1 publication

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“…Intervertebral disc infections include the infection of the intervertebral adjacent vertebral body and soft tissue (1)(2)(3)(4). Low immunity, diabetes mellitus, tumors, and AIDS are the predisposing factors for intervertebral infection (5,6). In addition, the number of iatrogenic infections after spinal injections or spinal surgery has been steadily increasing (7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of percutaneous endoscopic lumbar discectomy combined with external lumbar drainage in the treatment of intervertebral infections

Huang

Song

et al. 2022

Front. Surg.

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ObjectiveTo analyze the effect of percutaneous endoscopic lumbar discectomy in treating lumbar intervertebral infections.MethodsA total of 13 patients with lumbar intervertebral infections who underwent percutaneous endoscopic lumbar discectomy combined with external drainage between November 2016 and December 2019 were enrolled in the present study. After the operation, sensitive antibiotics were used based on the results of the bacterial culture. If no pathogens were detected in the biopsy culture of the infected tissues, empirical antibiotics were administrated to these patients. The clinical efficacy was evaluated by using a visual analog scale (VAS), Japanese Orthopaedic Association (JOA), Oswestry Disability Index (ODI), and standard Macnab's evaluation. Postoperative computed tomography (CT) and MRI were also used to evaluate clinical efficacy.ResultsThe follow-up time was 10–18 months, and the average time was (13.69 ± 2.63) months. Causative bacteria were isolated in 7 of 13 infected tissue biopsy cultures. Systemic antibiotics and anti-tuberculous chemotherapy were administered according to sensitivity studies for identified. There were no pathogens isolated from the other six patients. Empiric antibiotics were administrated in these patients. One week after the operation, WBC, a fractional fraction of medium granulocytes, ESR and CRP were significantly lower compared to before the operation (all P < 0.05). At the last follow-up visit, the above-mentioned markers were all within normal range, which differed compared to the pre-operative data (P < 0.05). The VAS and ODI of the patients at 1 week and 3 months after operation were significantly lower compared to preoperative data (all P < 0.05). During the last follow-up visit, seven patients were excellent, five were good, and one was poor according to standard Macnab's evaluation. No serious complications were recorded.ConclusionsPercutaneous lumbar discectomy combined with external drainage resulted as an effective method for treating lumbar intervertebral infections and was associated with fewer injuries, less pain, low cost, and low recurrence rate.

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Section: Introductionmentioning

confidence: 99%

The effectiveness of percutaneous endoscopic lumbar discectomy combined with external lumbar drainage in the treatment of intervertebral infections

Huang

Song

et al. 2022

Front. Surg.

View full text Add to dashboard Cite

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Rehabilitation Outcomes in Spinal Abscess Patients With and Without a History of Intravenous Substance Abuse

Abstract: Acute inpatient rehabilitation can effectively improve functional outcomes in spinal epidural abscess patients with or without intravenous substance abuse, even though these two patient groups can vary in clinical factors.

Cited by 1 publication

References 21 publications

The effectiveness of percutaneous endoscopic lumbar discectomy combined with external lumbar drainage in the treatment of intervertebral infections

The effectiveness of percutaneous endoscopic lumbar discectomy combined with external lumbar drainage in the treatment of intervertebral infections

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