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  • 1
    Electronic Resource
    Electronic Resource
    Percutaneous lumbar discectomy in the treatment of lumbar discitis (1997)
    Springer
    European spine journal 6 (1997), S. 98-101 
    Details
    ISSN: 1432-0932
    Keywords: Percutaneous discectomy ; Osteomyelitis ; Haematogenous spondylodiscitis ; Aspiration
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Lumbar disc infection, either after surgical discectomy or caused by haematogenous spread from other infection sources, is a severe complication. Specific antibiotic treatment has to be started as soon as possible to obtain satisfactory results in conservative treatment or operative fusion. The aim of this study was to analyse 16 cases of lumbar disc infection, treated with percutaneous lumbar discectomy (PLD) to obtain adequate amounts of tissue for histological examination and microbial culture. Between 1990 and 1994, 26 patients with vertebral osteomyelitis were treated. Sixteen patients, with an average age of 41.4 years (range 14–59 years), underwent a diagnostic PLD. Eight of them showed only moderate changes on computed tomograms (CT scans) and magnetic resonance (MR) images in the initial stages of the disease. The other eight showed more or less extensive osteolytic lesions of one or both vertebral bodies adjacent to the involved disc. The histology results showed non-specific discitis in nine patients and tuberculosis in one. In two patients an open biopsy had been performed, which showed non-specific discitis. Microbiological analysis revealed specific infection in 45% of the patients. These patients received a specific antibiotic treatment after antibiogram for an average of 33 days. Only three patients were treated surgically, with evacuation of the disc space and interbody fusion; the whole group received a spondylitis brace. All patients obtained satisfactory clinical results at the last follow-up regarding pain, mobility and spontaneous fusion of the involved disc space. In conclusion, PLD is a very helpful minimally invasive procedure in conservative treatment of lumbar discitis.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01358740
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Besonderheiten der orthopädischen Schmerztherapie bei Erkrankungen der Wirbelsäule (1996)
    Springer
    Der Schmerz 10 (1996), S. 269-275 
    Details
    ISSN: 1432-2129
    Keywords: Schlüsselwörter Orthopädische Schmerztherapie ; Lokale Injektionen ; Epidural ; Wurzelblockade ; Kortikosteroide ; Lokalanästhetika ; Key words Orthopaedic pain treatment ; Local injections ; Low back pain ; Epidural ; Corticosteroid ; Local anaesthetic
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Abstract Besides the treatment of postoperative pain, working together with the anaesthesiologist, orthopaedic doctors are mostly involved in diseases of the locomotor system where pain is a leading feature. Painful orthopaedic diseases are very frequent. They afford a special diagnostic procedure. The pain treatment consists of special orthopaedic therapy and local injections with low doses of local anaesthetics and steroids at the site of pain. This treatment helps to avoid the use of high-dose systemic analgesics and perhaps avoids the need for operations.
    Notes: Zusammenfassung Neben postoperativen Schmerzzuständen, die der Orthopäde in der Klinik im allgemeinen in Zusammenarbeit mit dem Anästhesisten behandelt, haben es Orthopäden vor allem in der Praxis mit Erkrankungen der Stütz- und Bewegungsorgane zu tun, bei denen Schmerzen im Vordergrund stehen. Für den gezielten schmerztherapeutischen Ansatz ist eine spezielle orthopädische Diagnostik erforderlich. Die orthopädische Schmerztherapie besteht in der Ursachenbeseitigung und einer lokalen Schmerzbehandlung in Form von Injektionen mit niedrig dosierten Lokalanästhetika und Glukokortikosteroiden.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004820050049
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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