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KMID : 0359819950240030239
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Journal of Korean Neurosurgical Society
1995 Volume.24 No. 3 p.239 ~ p.245
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Clinical Analysis and Long-erm Results of Postoperatvie Lumbar Discitis
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정제태
김태성/임영진/김국기/이봉암/이언
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Abstract
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discitis is a rare complication of disc surgery. During a 8-year-period, 1765 patients were operated for lumbar disc herniation and 28 patients (1.6%) developed postoperative discitis. The characteristic symptoms were severe back pain (75%) and
muscle
spasm (64%). The laboratory findings were an elevated erythrocyte sedimentation rate (93%) and mildly elevated white blood cell count (54%). In bacterial culture. Staphylococcus aureus in three cases and Streptococcus epidermidis in one were
grown.
Typical radiographic findings were narrowing of the disc space and end-plate resorption. There was a high incidence of chronic low back pain in the patients with discitis at long-term follow up. We recommended treatment with both immobilization
of
the
spine and the administration of appropriate antibiotics for more than 6 weeks.
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KEYWORD
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