整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
術後椎間板炎の3例
塩谷 彰秀新宮 彦助嘉本 崇也木村 功山崎 堯二那須 吉郎
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ジャーナル フリー

1979 年 28 巻 1 号 p. 30-35

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Extirpation of the intervertebral disc was carried out in 423 cases with disc disorders during the past 15 years in our clinic. In 3 cases out of the (0.71%), postoperative discitis took place. The symptoms appeared with pain, dull sensation of the lumbal and glutaeal parts, 2 or 3 weeks after operation, which were different from those at the preoperative stage. There observed a rise of BSR, positivity of CRP and slight fever without leucocytosis. The roentgenographic changes occurred about 1 month after surgery, showing the narrowing and irregularity of the disc space.
The patients showed improvement by administration of antiboitics and bed rest for about 12 weeks. In one case, resaucerization of the intervertebral disc and anterior body fusion was performed and Gram negative bacillus was detected.
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