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| Experience of treatment for postoperative infection of thoracolumbar spine without removing internal fixation |
| WANG Shaoqian WANG Hui▲ NIU Lei WEI Longyu |
| Department of Microscopic Orthopaedic, the Second People's Hospital of Hefei, Anhui Province, Hefei 230011, China |
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Abstract Objective To explore the feasibility of treating postoperative infection of thoracolumbar spine in the case of retaining internal fixation with a series of treatment methods, such as changing drugs, removing the lesion, expanding the drainage and using sensitive antibiotics. Methods The clinical data of 16 patients with postoperative infection of thoracolumbar spine treated in the Second People's Hospital of Hefei from January 2012 to May 2015 were analyzed retrospectively. In the case of retaining internal fixation, after a series of treatment methods, such as changing drugs, removing the lesion, expanding the drainage and using sensitive antibiotics, the wound healing was observed. The white blood cell (WBC) number, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) and visual analogous scale (VAS) were analyzed and compared before and after treatment. Results All patients wound healing were well. Follow-up time was from 6 months to 2 years, and no case recurred. After treatment, the WBC number, ESR, CRP and VAS score were lower than those before treatment, with statistically significant difference (P < 0.05). Conclusion It is necessary to clearly diagnose the postoperative infection of thoracolumbar spine in the early stage, and actively take the active treatment, such as changing drugs, removing the lesion, washing the drainage, etc. In the case of retaining internal fixation, it can also achieve good curative effect.
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