Treatments of pyogenic vertebral osteomyelitis with psoas abscess: Fow Cases Report

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  • 腸腰筋膿瘍を合併した化膿性脊椎炎の治療経験
  • チョウヨウキン ノウヨウ オ ガッペイシタ カノウセイ セキツイエン ノ チリョウ ケイケン

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Psoas abscess has become rare due to the availability of antibiotics and improvement of nourishment. We encountered four cases (two femorales, two males) with psoas abscess. Patient age at surgery was 57 years on average. We debrided psoas abscesses in all four cases. Three cases also needed vertebral debridement and interbody fusion. In Japan, we found 51 previously reported cases of psoas abscess due to pyogenic vertebral osteomyelitis and 20% of those also required vertebral debridement. In conclusion, we consider that surgical treatment of pyogenic vertebral osteomyelitis with psoas abscess is indicated in cases as showing: 1) sepsis with compromised host, 2) recurrence or lately, 3) no response to conservative therapy, 4) progressive palsy, 5) osteosclerosis around the focus on X-ray.

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