脊柱炎的诊断与治疗:文献综述

Dhanang Susilo
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引用次数: 0

摘要

在全球许多地区,化脓性脊柱炎仍然是一个值得关注的问题。这是一种影响人口比例很小的疾病,但它可能相当严重,甚至致命。通常,由于没有明显的体征或症状,很难做出诊断。它涵盖了大量的临床实体,包括化脓性脊柱炎、椎间盘炎、椎体骨髓炎和脊柱骨髓炎等。保守治疗的成功率与手术治疗相当,但并发症和死亡率较低。在没有明确手术指征的情况下,应首先考虑保守治疗。由于发生骨塌陷和神经功能缺损的风险增加,颈椎道或结核性脊柱炎患者应接受更密切的诊断和临床监测。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
DIAGNOSIS AND TREATMENT SPONDYLODISCITIS : THE LITERATURE REVIEW
In many regions of the globe, pyogenic spondylitis remains a significant concern. It is a disorder that affects a very small proportion of the population, but it can be quite severe and even fatal. Frequently, it is difficult to make a diagnosis due to the absence of evident signs or symptoms. It encompasses a vast array of clinical entities, including pyogenic spondylodiscitis, discitis, vertebral osteomyelitis, and spinal osteomyelitis, among others. The success rates of conservative treatment are comparable to those of surgical treatment, but complications and mortality rates are lower. In the absence of a clear indication for surgical intervention, conservative treatment should be considered first. Patients with cervical tract or tuberculous spondylodiscitis should endure closer diagnostic and clinical monitoring due to the increased risk of developing bone collapse and neurological deficits.
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