A Comprehensive Treatment Strategy for Severe Pyogenic Spondylitis, Including Orthopedic Surgery, in Compliance with Surviving Sepsis Campaign Guidelines

DOI
  • Koakutsu Tomoaki
    Department of Orthopaedic Surgery, National Hospital Organization Sendai Medical Center Emergency Center, Tohoku University Hospital
  • Onoda Yoshito
    Emergency Center, Tohoku University Hospital Department of Orthopaedic Surgery, Graduated School of Medicine, Tohoku University
  • Oyanagi Taku
    Department of Orthopaedic Surgery, National Hospital Organization Sendai Medical Center Emergency Center, Tohoku University Hospital
  • Aizawa Toshimi
    Department of Orthopaedic Surgery, Graduated School of Medicine, Tohoku University

Bibliographic Information

Other Title
  • 化膿性脊椎炎重症例に対する包括的治療戦略　―敗血症診療ガイドラインの遵守と整形外科的治療介入―

Search this article

Abstract

<p>Introduction: For severe cases of pyogenic spondylitis, we adhered to surviving sepsis campaign guidelines and performed orthopedic interventions with clear objectives and appropriate timing. We investigated the clinical factors and outcomes.</p><p>Methods: Twenty-seven consecutive patients with severe pyogenic spondylitis with extra-vertebral abscesses treated at the Emergency Center of Tohoku University Hospital over for 10 years from April 2008 were included in this study. From the electronic medical records, we investigated the diagnosis and treatment details, imaging findings, compliance with guidelines, and outcome.</p><p>Results: All patients were initially treated in compliance with the guidelines, and the causative organism was identified for all case except one. Puncture and/or curettage of the lesion for eradication of infection was performed in 25 patients (93%), and surgery was performed in 18 patients (67%); 1 patient died, and 26 patients survived (5 patients were discharged home and 21 patients were transferred to another hospital).</p><p>Conclusions: The comprehensive treatment strategy for severe pyogenic spondylitis of our institution was presented and the clinical outcomes were reported. </p>

Journal

  • Journal of Spine Research

    Journal of Spine Research 13 (2), 110-118, 2022-02-20

    The Japanese Society for Spine Surgery and Related Research

Keywords

Details 詳細情報について

Report a problem

Back to top