Percutaneous Discectomy—Continuous Irrigation and Drainage for Tuberculous Lumbar Spondylitis : A Report of Two Cases
Joint Authors
Yamamoto, Tetsuji
Oka, Shiro
Komatsubara, Satoshi
Shibuya, Sei
Arima, Nobuo
Kanda, Yoshiaki
Source
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-11-08
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Percutaneous curettage and continuous irrigation were performed for definitive diagnosis and treatment of tuberculous (TB) lumbar spondylitis.
Under local anaesthesia, affected lumbar discs were curetted using a procedure of percutaneous nucleotomy, and in-tube and the out-tube were placed for continuous irrigation.
The period of continuous irrigation was 12–16 days.
Mycobacterium tuberculosis was demonstrated in case 1 by culture and PCR, whereas histology showed tuberculous lesion with caseous necrosis in both cases.
Postoperative MRI showed markedly reduced abscesses after 3 months in both cases.
The signal intensity in vertebral bodies was improved.
In Case 2, CT observations showed remodeling over time in the vertebral body cavities.
This method is advantageous in that although minimally invasive, it achieves identification of pathogenic bacteria and treatment simultaneously.
This surgical procedure is expected to prove effective for both TB and pyogenic spondylitis.
American Psychological Association (APA)
Shibuya, Sei& Komatsubara, Satoshi& Yamamoto, Tetsuji& Arima, Nobuo& Kanda, Yoshiaki& Oka, Shiro. 2009. Percutaneous Discectomy—Continuous Irrigation and Drainage for Tuberculous Lumbar Spondylitis : A Report of Two Cases. Case Reports in Medicine،Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-486811
Modern Language Association (MLA)
Shibuya, Sei…[et al.]. Percutaneous Discectomy—Continuous Irrigation and Drainage for Tuberculous Lumbar Spondylitis : A Report of Two Cases. Case Reports in Medicine No. 2009 (2009), pp.1-4.
https://search.emarefa.net/detail/BIM-486811
American Medical Association (AMA)
Shibuya, Sei& Komatsubara, Satoshi& Yamamoto, Tetsuji& Arima, Nobuo& Kanda, Yoshiaki& Oka, Shiro. Percutaneous Discectomy—Continuous Irrigation and Drainage for Tuberculous Lumbar Spondylitis : A Report of Two Cases. Case Reports in Medicine. 2009. Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-486811
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-486811