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Posterior Debridement and allograft combined with Irrigation and Drainage in the Treatment of Lumbar Intervertebral Infection |
Spine Department, Xiangya Hospital, Central South University,Changsha, Hunan,410008 |
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Abstract 【Objective】 To investigate the therapeutic effect of the posterior debridement and interbody fusion combined with irrigation and drainage in the treatment of lumbar intervertebral infection. 【Methods】From January 2010 to June 2013, 28 cases were treated using this method. VAS scores were used to assess pain relief.Erythrocyte sedimentation rate (ESR) and C reactive protein (CRP) were used to assess the general condition.Radiography evaluation was used to assess spinal stability and fusion conditions.【Results】Lower back pain was relieved significantly after 2 to 5 days and disappeared at about two weeks. Postoperative VAS score was significantly lower than the preoperative score. Postoperative body temperature gradually decreased and returned to normal in about 2 to 3 weeks. ESR and CRP levels returned to normal after 2 to 3 weeks. All the patients returned to normal life and were able to work after 6 months. There were no sinus formations or recurrent infections by the oneyear followup. 【Conclusion】 This surgical method is safe, reliable, and effective in the treatment of lumbar intervertebral infection.
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Received: 02 April 2015
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