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At least 955 records · Page 53Linked to original sources
PubMed2003

[Spondylodiscitis. Analysis of 25 cases].

BACKGROUND: Spondylodiscitis is a rare but prolonged inflammation of two adjacent vertebral bodies and the disk in between. AIM: To report the clinical features of a series of patients with spondylodiscitis. MATERIAL AND METHODS: A retrospective analysis of medical records of patients with spondylitis, identified between 1989 and 2002. RESULTS: A total of 25 cases were identified, 15 female, aged 49.8 years as a mean. Their mean evolution before admission was 4.3 months. Main complaints were back or radicular pain. Mild anemia was present in most patients. Mean erythrocyte sedimentation rate and C reactive protein values were 66 mm/h and 60 mg/L, respectively. Forty four percent of patients had neurological complications. Vertebral computed tomography and scintigraphic studies were done in 72% of patients, but magnetic resonance imaging was done only in 4 (16%). In 18 patients, a tissue sample for pathological and microbiological analysis, was obtained by imaging guiding or surgically. Tuberculosis, diagnosed on pathology, was the leading cause of spondylitis in nine cases (36%), followed by Staphylococcus aureus infection in five (20%). Other agents found were E coli and group D Streptococcus (one each). Age, symptoms, evolution time and different laboratory parameters did not differ between patients with tuberculosis and patients with other causes. A microbiological cause was not established in 36% of cases. Most patients evolved satisfactorily and recovered from neurological complications (88%). One patient with tuberculosis did not improve after prolonged treatment and 2 patients infected with S aureus died (8%). CONCLUSIONS: Spondylodiscitis is associated to a diversity of microbial agents and in most cases has a favorable prognosis.

Adolescent↗
PubMed1992

[Unusual sites of Pott's disease. Apropos of fourteen cases].

The diagnosis of Pott's disease is generally easy exception unusual sites whose diagnosis is requires cross-section imaging and needle biopsy. The authors report 14 cases of atypical forms of Pott's disease: 7 cases of centro-somatic forms 4 cases of sub-occipital Pott's disease, 2 cases of posterior arch and one case of sub-ligamentous vertebral tuberculosis. The radiological diagnosis of Pott's disease is suggested by the presence of a paravertebral abscess noted in 12 cases tuberculous spondylitis associated in 3 cases and multifocal involvement in 9 cases.

Adult↗
PubMed1992

Imaging of degenerative disk diseases.

This review provides a new understanding of the areas of disk anatomy, degeneration, herniation, and lumbar canal stenosis. It discusses new findings on calcified disks, disk imaging, intraspinal synovial cysts and even intraspinal pigmented villonodular synovitis. Special attention has been given to percutaneous therapeutic procedures and the postoperative spine.

Discitis↗
PubMed1992

[Etiologic aspects of low back pain in rheumatic patients in Kinshasa (Zaire). Apropos of 169 cases].

A study over a period of 27 consecutive months showed that among patients seen in a Kinshasa hospital outpatient clinic for rheumatologic diseases, 46.5% sought medical advice for lower back pain. Lumbar arthrosis (74.5%), spondylodiscitis (9.5%) and unilateral sacroiliitis (9%) were the main causes of this complaint. A single patient had osteoporosis and no cases of ankylosing spondylarthritis were seen. Lumbar arthrosis was prevalent among females. Mean age of patients with disk disease was fairly low (43 years). Infectious spondylodiscitis and unilateral sacroiliitis, presumably reactive or infectious in origin, were also more common in women. HIV-infection was found in 44% of patients with spondylodiscitis and in 53% of patients with sacroiliitis. Age of HIV-infected individuals ranged from 21 to 40 years. Bacteriologic studies proved indispensable for determining the cause of these conditions in which leukocyte courts failed to rise. In young individuals in Kinshasa with spondylodiscitis or unilateral sacroiliitis, routine HIV testing is warranted.

Adult↗
PubMed1992

Complications of chemonucleolysis.

Complications in chemonucleolysis are inevitable. However, the incidence of these may be minimized with attention to detail. Proper patient selection, based on a knowledge of the natural history of lumbar disk herniation and elimination of patients with contraindications to diskolysis, will result in a higher success rate with lower incidence of complications in diskolysis. Once the proper patient has been selected, attention must be turned to technique with respect to the use of local anesthesia, appropriate patient positioning, good fluoroscopic control, and two-needle technique for appropriate needle positioning. Immunologic complications can be nearly eliminated with the use of a preoperative enzyme immunoassay test. Carefully considering all of these factors will allow chemonucleolysis to present a safe alternative to disk surgery.

Anaphylaxis↗
PubMed1992

Percutaneous diskectomy.

Automated percutaneous diskectomy and manual percutaneous diskectomy (PCD) have gained recent popularity as alternatives to traditional surgical diskectomy or microdiskectomy. Initial reports of morbidity seem low. The rates of infection, and neurologic and vascular complications appear comparable or less than the morbidity associated with surgical diskectomy or microdiskectomy. However, inconsistent reports of the efficacy of PCD may cause more concern about overuse than about the morbidity.

Automation↗