2003 年 52 巻 1 号 p. 77-80
Generally, the treatment for intervertebral pyogenic spondylitis consists of external fixation, chemotherapy, and rest in bed. Cases requiring surgical treatment are rare, but we performed operation percutaneous discectomy for these two cases who resisted conservative therapy, and obtained satisfactory results. Both cases showed improvement. The duration of intravenous drip of antibiotics is until the CRP, ESR and, WBC data normalized. Internal use of antibiotics was maintained for twelve weeks. External fixation was used until clinical symptoms, serum chemistry, and image normalized. Percutaneous discectomy in toponarcosis is effective for medical treatment.