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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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  • 2
    Electronic Resource
    Electronic Resource
    Injection of facet and ileosacral joint against chirotherapy (1997)
    Springer
    Manuelle Medizin 35 (1997), S. 184-187 
    Details
    ISSN: 1433-0466
    Keywords: Key words Local injection therapy • Manual medicine • Low back pain ; Schlüsselwörter Therapeutische Lokalanaesthesie • Manuelle Therapie • Pseudoradikuläre Wirbelsäulensyndrome
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Am Beispiel einer 30-Betten-Station der Orthopädischen Universitätsklinik Bochum wird das Aufkommen an Verfahren der TLA den manualtherapeutischen Handgriffen im Zeitraum eines Jahres gegenübergestellt. Es handelt sich um 191 ISG-Injektionen sowie 28 Facettengelenkinjektionen an der HWS und 315 an der LWS. Demgegenüber standen 122 manualtherapeutische Handgriffe, durchgeführt an HWS, BWS und LWS durch die jeweiligen Stationsärzte mit abgeschlossener Weiterbildung. Während sich die TLA auf die Hauptprädilektionsstelle des jeweiligen Krankheitsbildes (pseudoradikuläre HWS- und LWS-Syndrome) konzentrierte, bezog sich die manuelle Therapie vorrangig auf Nebenbefunde in anderen Wirbelsäulenetagen bei Patienten mit den genannten Diagnosen oder mit Postdiskotomiesyndrom. Die zunehmende Ausbildung des ärztlichen Personals läßt einen Wandel hin zur manualtherapeutischen Behandlung auch der Hauptbefunde erwarten, wird jedoch die TLA nicht ersetzen.
    Notes: Summary In a 30-beds-unit of the Orthopedic University Clinic in Bochum for an example we studied the frequency of combined injection therapy with local anesthesia and chirotherapy in a one year period. There have been done 191 injections into ileosacral joints as well as 28 injections into facett joints of the cervical spine and additionally 315 into facett joints of the lumbar spine. On the other side there have been done 122 chirotherapeutic maneuvers at cervical, thoracic or lumbar spine by senior doctors with education in manual medicine. The injection therapy however was done in mean predilection sites of the patients suffering from cervical spine disorders or low back pain, the chirotherapy was done in other spine areas. The growing number of doctors with an education in manual medicine seems to improve the chirotherapy of the mean pathology as well, but it is not able to reduce the number of local injection therapy.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003370050030
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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