应用穿透性终板螺钉成功治疗弥漫性特发性骨骼肥大非强直性病变中的化脓性脊柱炎:三例报告。

IF 0.5 Q4 SURGERY
Journal of Surgical Case Reports Pub Date : 2025-09-13 eCollection Date: 2025-09-01 DOI:10.1093/jscr/rjaf734
Kazuki Fujimoto, Narumi Maki, Daisuke Hashiba, Toshifumi Maeyama, Haruki Ito, Ryosuke Nakagawa, Hajime Arai, Seiji Ohtori
{"title":"应用穿透性终板螺钉成功治疗弥漫性特发性骨骼肥大非强直性病变中的化脓性脊柱炎:三例报告。","authors":"Kazuki Fujimoto, Narumi Maki, Daisuke Hashiba, Toshifumi Maeyama, Haruki Ito, Ryosuke Nakagawa, Hajime Arai, Seiji Ohtori","doi":"10.1093/jscr/rjaf734","DOIUrl":null,"url":null,"abstract":"<p><p>Both pyogenic spondylitis and diffuse idiopathic skeletal hyperostosis (DISH) can develop in the thoracolumbar spine of older adults. Among patients with pyogenic spondylitis, those with DISH reportedly have a significantly higher mortality rate than those without DISH. However, the reasons for this increased mortality and effective strategies for preventing fatal outcomes remain to be determined. Here, we report three cases of pyogenic spondylitis affecting non-ankylotic lesions in older patients with DISH. These patients were successfully treated with anterior and posterior fixation using penetrating endplate screws, which provide strong fixation and are particularly advantageous in DISH. In cases of pyogenic spondylitis involving non-ankylotic lesions in DISH, early spinal fixation with penetrating endplate screws, guided using computed tomography and magnetic resonance imaging, may help prevent older adult patients from becoming bedridden.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf734"},"PeriodicalIF":0.5000,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448290/pdf/","citationCount":"0","resultStr":"{\"title\":\"Successful treatment of pyogenic spondylitis in a non-ankylosing lesion of diffuse idiopathic skeletal hyperostosis using penetrating endplate screws: a three-case report.\",\"authors\":\"Kazuki Fujimoto, Narumi Maki, Daisuke Hashiba, Toshifumi Maeyama, Haruki Ito, Ryosuke Nakagawa, Hajime Arai, Seiji Ohtori\",\"doi\":\"10.1093/jscr/rjaf734\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Both pyogenic spondylitis and diffuse idiopathic skeletal hyperostosis (DISH) can develop in the thoracolumbar spine of older adults. Among patients with pyogenic spondylitis, those with DISH reportedly have a significantly higher mortality rate than those without DISH. However, the reasons for this increased mortality and effective strategies for preventing fatal outcomes remain to be determined. Here, we report three cases of pyogenic spondylitis affecting non-ankylotic lesions in older patients with DISH. These patients were successfully treated with anterior and posterior fixation using penetrating endplate screws, which provide strong fixation and are particularly advantageous in DISH. In cases of pyogenic spondylitis involving non-ankylotic lesions in DISH, early spinal fixation with penetrating endplate screws, guided using computed tomography and magnetic resonance imaging, may help prevent older adult patients from becoming bedridden.</p>\",\"PeriodicalId\":47321,\"journal\":{\"name\":\"Journal of Surgical Case Reports\",\"volume\":\"2025 9\",\"pages\":\"rjaf734\"},\"PeriodicalIF\":0.5000,\"publicationDate\":\"2025-09-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448290/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Surgical Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1093/jscr/rjaf734\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/9/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Surgical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1093/jscr/rjaf734","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

摘要

化脓性脊柱炎和弥漫性特发性骨骼肥厚症(DISH)都可以发生在老年人的胸腰椎。在化脓性脊柱炎患者中,据报道,DISH患者的死亡率明显高于非DISH患者。然而,死亡率增加的原因和预防致命后果的有效战略仍有待确定。在这里,我们报告三例化脓性脊柱炎影响非强直性病变的老年DISH患者。这些患者成功地使用穿透性终板螺钉进行前后固定,提供牢固的固定,在DISH中特别有利。对于伴有非强直性病变的化脓性脊柱炎患者,在计算机断层扫描和磁共振成像的指导下,采用穿透性终板螺钉进行早期脊柱固定,可能有助于防止老年患者卧床不起。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Successful treatment of pyogenic spondylitis in a non-ankylosing lesion of diffuse idiopathic skeletal hyperostosis using penetrating endplate screws: a three-case report.

Successful treatment of pyogenic spondylitis in a non-ankylosing lesion of diffuse idiopathic skeletal hyperostosis using penetrating endplate screws: a three-case report.

Successful treatment of pyogenic spondylitis in a non-ankylosing lesion of diffuse idiopathic skeletal hyperostosis using penetrating endplate screws: a three-case report.

Successful treatment of pyogenic spondylitis in a non-ankylosing lesion of diffuse idiopathic skeletal hyperostosis using penetrating endplate screws: a three-case report.

Both pyogenic spondylitis and diffuse idiopathic skeletal hyperostosis (DISH) can develop in the thoracolumbar spine of older adults. Among patients with pyogenic spondylitis, those with DISH reportedly have a significantly higher mortality rate than those without DISH. However, the reasons for this increased mortality and effective strategies for preventing fatal outcomes remain to be determined. Here, we report three cases of pyogenic spondylitis affecting non-ankylotic lesions in older patients with DISH. These patients were successfully treated with anterior and posterior fixation using penetrating endplate screws, which provide strong fixation and are particularly advantageous in DISH. In cases of pyogenic spondylitis involving non-ankylotic lesions in DISH, early spinal fixation with penetrating endplate screws, guided using computed tomography and magnetic resonance imaging, may help prevent older adult patients from becoming bedridden.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
0.70
自引率
0.00%
发文量
559
审稿时长
11 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信