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Percutaneous Curettage and Continuous Irrigation for MRSA Lumbar Spondylodiscitis : A Report of Three Cases
Joint Authors
Yamagami, Yoshiki
Yamamoto, Tetsuji
Komatsubara, Satoshi
Shibuya, Sei
Arima, Nobuo
Source
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-05-26
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
There has been a recent increase in pyogenic spondylitis caused by methicillin-resistant Staphylococcus aureus (MRSA) associated with an increasing number of compromised patients.
As long as serious paralysis is absent, we recommend percutaneous curettage and continuous irrigation as an effective treatment for MRSA lumbar spondylodiscitis.
Under local anesthesia, the affected lumbar discs were curetted using percutaneous nucleotomy, and tubes were placed for continuous irrigation.
The period of continuous irrigation was generally 2 weeks.
Infection was controlled after one procedure in two cases and after two procedures in one case.
Postoperative radiography and magnetic resonance imaging (MRI) showed callus formation, normalized signal intensity in vertebral bodies, and regression of abscesses.
Open surgery under general anesthesia has been considered risky in patients with poor performance status or old age.
The present method, which is an application of needle biopsy, can be performed under local anesthesia and is minimally invasive.
American Psychological Association (APA)
Yamagami, Yoshiki& Shibuya, Sei& Komatsubara, Satoshi& Yamamoto, Tetsuji& Arima, Nobuo. 2009. Percutaneous Curettage and Continuous Irrigation for MRSA Lumbar Spondylodiscitis : A Report of Three Cases. Case Reports in Medicine،Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-457701
Modern Language Association (MLA)
Yamagami, Yoshiki…[et al.]. Percutaneous Curettage and Continuous Irrigation for MRSA Lumbar Spondylodiscitis : A Report of Three Cases. Case Reports in Medicine No. 2009 (2009), pp.1-4.
https://search.emarefa.net/detail/BIM-457701
American Medical Association (AMA)
Yamagami, Yoshiki& Shibuya, Sei& Komatsubara, Satoshi& Yamamoto, Tetsuji& Arima, Nobuo. Percutaneous Curettage and Continuous Irrigation for MRSA Lumbar Spondylodiscitis : A Report of Three Cases. Case Reports in Medicine. 2009. Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-457701
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-457701