Abstract
Lomber disc hernias (LDH) are one of the most
basic illnesses that affect many people today.
Surgical treatment is planned in patients who
do not benefit from conservative treatment.
One of the common complications after surgery
is spinal infections. Spinal infections can
affect disc spacing and vertebral body, and may
create lumbar abscesses. Infection begins
clinically with low back and back pain, then
movement limitation, leg pain and fever are
seen. We wanted to draw attention to the
approach to spinal infections by presenting a
patient who had undergone a lomber
operation twice in our present circumstance
and who was followed up for 2 years despite
medical abcess and fistula formation.
References
- Shektman A, Granick M S, Solomon M P, et al.; Management of infected laminectomy wounds. Neurosurgery 35:307-9, 1994.
- Naderi S: İyatrojenik disk aralığı enfeksiyonları, Spinal Enfeksiyonlar, ed: Palaoğlu S. İzmir: Türk Nöroşirürji Derneği Spinal Cerrahi Grubu Yayınları Yayın No 1: 211-214
- Hancı Murat, Omurga ve Omurga enfeksiyonları Temel Nöröşirurji Cilt 2 1337-1348,2010.
- Mohamad Bydon, Rafael De la Garza Ramos Mohamed Macki, Matthew Naumann, Daniel M. Sciubba, Jean-Paul Wolinsky, Ali Bydon, Ziya L. Gokaslan, Timothy F. Witham, World Neurosurgery December 2014 Volume 82, Issue 6, Pages e807–e814
- Martín-Alonso J, Delgado-López PD, Castilla-Díez JM, MartínVelasco V, Galacho-Harriero AM, Ortega-Cubero S, ArausGaldós E, Rodríguez-Salazar A.Neurocirugia (Astur). 2018 Mar - Apr;29(2):64-78. doi: 10.1016/j.neucir.2017.09.001. Epub 2017 Oct 19. Spanish.
- Kern RZ, Houpt JB: Pyogenic vertebral osteomyelitis: diagnosis and management. Can Med Assoc J. 15;130(8):1025- n1028, 1984
- Aydın A, Aydın Ö.A. , Toplamaoğlu H, Türk Nöroşirürji Dergisi, 2004, Cilt:14, Sayı:3, 158-165. 8. Jönsson BO, Söderholm R, Strömqvist B: Erythrocyte sedimentation rate after lumbar spine surgery. Spine 16(9): 1049-1050, 1991
- Whalen JL, Brown ML, McLeot R, Fitzgerald GL: Limitations of indium leucocyte imaging for the diagnosis of spine infections. Spine 16(2): 193-197, 1991
- Acke Ohlin, Emma Mattsson, Matthias Mörgelin,Julia R. Davies,Gunnel Svensäter, Stéphane Corvec, Pentti Tengvall, Kristian Riesbeck, European Spinal Journal https://doi. org/10.1007/s00586-018-5619-8. 124 125
- Ogden AT, Kaiser MG. Single-stage debridement and instrumentation for pyogenic spinal infections. Neurosurg Focus 2004;17(6):E5.
- Hee HT, Majd ME, Holt RT, Pienkowski D. Better treatment of vertebral osteomyelitis using posterior stabilization and titanium mesh cages. J Spinal Disord Tech 2002;15(2):149–56.
- Boody BS, Jenkins TJ, Maslak J, Hsu WK, Patel AA. Vertebral Osteomyelitis and Spinal Epidural Abscess: An Evidencebased Review. J Spinal Disord Tech 2015;28(6):E316–27.
Abstract
Lomber disk hernileri (LDH) günümüzde birçok
insanı etkileyen, yaşam kalitesini bozan en temel
hastalıklardan biridir. Konservatif tedavilerden
fayda görmeyen hastalarda cerrahi tedavi
planlanır. Cerrahi sonrası görülen sık komplikasyonlardan
bir tanesi spinal enfeksiyonlardır.
Spinal enfeksiyonlar disk mesafesini ve vertebra
gövdesini etkileyebilir, lomber abse oluşturabilir.
Enfeksiyon klinik olarak bel ve sırt ağrısı ile
başlar, daha sonra hareket kısıtlılığı, bacak ağrısı
ve ateş görülür. Bu olgumuzda daha önce 2 kez
lomber operasyon geçiren, abse ve fistül oluşmasına
rağmen 2 yıl boyunca medikal olarak takip
edilen hasta sunarak spinal enfeksiyonlara
yaklaşım konusuna dikkat çekmek istedik
References
- Shektman A, Granick M S, Solomon M P, et al.; Management of infected laminectomy wounds. Neurosurgery 35:307-9, 1994.
- Naderi S: İyatrojenik disk aralığı enfeksiyonları, Spinal Enfeksiyonlar, ed: Palaoğlu S. İzmir: Türk Nöroşirürji Derneği Spinal Cerrahi Grubu Yayınları Yayın No 1: 211-214
- Hancı Murat, Omurga ve Omurga enfeksiyonları Temel Nöröşirurji Cilt 2 1337-1348,2010.
- Mohamad Bydon, Rafael De la Garza Ramos Mohamed Macki, Matthew Naumann, Daniel M. Sciubba, Jean-Paul Wolinsky, Ali Bydon, Ziya L. Gokaslan, Timothy F. Witham, World Neurosurgery December 2014 Volume 82, Issue 6, Pages e807–e814
- Martín-Alonso J, Delgado-López PD, Castilla-Díez JM, MartínVelasco V, Galacho-Harriero AM, Ortega-Cubero S, ArausGaldós E, Rodríguez-Salazar A.Neurocirugia (Astur). 2018 Mar - Apr;29(2):64-78. doi: 10.1016/j.neucir.2017.09.001. Epub 2017 Oct 19. Spanish.
- Kern RZ, Houpt JB: Pyogenic vertebral osteomyelitis: diagnosis and management. Can Med Assoc J. 15;130(8):1025- n1028, 1984
- Aydın A, Aydın Ö.A. , Toplamaoğlu H, Türk Nöroşirürji Dergisi, 2004, Cilt:14, Sayı:3, 158-165. 8. Jönsson BO, Söderholm R, Strömqvist B: Erythrocyte sedimentation rate after lumbar spine surgery. Spine 16(9): 1049-1050, 1991
- Whalen JL, Brown ML, McLeot R, Fitzgerald GL: Limitations of indium leucocyte imaging for the diagnosis of spine infections. Spine 16(2): 193-197, 1991
- Acke Ohlin, Emma Mattsson, Matthias Mörgelin,Julia R. Davies,Gunnel Svensäter, Stéphane Corvec, Pentti Tengvall, Kristian Riesbeck, European Spinal Journal https://doi. org/10.1007/s00586-018-5619-8. 124 125
- Ogden AT, Kaiser MG. Single-stage debridement and instrumentation for pyogenic spinal infections. Neurosurg Focus 2004;17(6):E5.
- Hee HT, Majd ME, Holt RT, Pienkowski D. Better treatment of vertebral osteomyelitis using posterior stabilization and titanium mesh cages. J Spinal Disord Tech 2002;15(2):149–56.
- Boody BS, Jenkins TJ, Maslak J, Hsu WK, Patel AA. Vertebral Osteomyelitis and Spinal Epidural Abscess: An Evidencebased Review. J Spinal Disord Tech 2015;28(6):E316–27.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | July 23, 2018 |
| Acceptance Date | May 25, 2018 |
| Published in Issue | Year 2018 |
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