0
Journal Contents   |    
Closed Space Infection Following Removal of Lumbar Intervertebral Disc
ARTHUR A. THIBODEAU
View Disclosures and Other Information
Orthopaedic Surgeon-in-Chief, Tufts-New England Medical Center, and Professor of Orthopaedic Surgery, Tufts University School of Medicine, Boston, Massachusetts
1968 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1968; 50:400-410 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

My experience and that of my associates indicate that an infection of an intervertebral-disc space after surgery is uncommon, but the complication is more frequent than previously suspected. The typical infection of an intervertebral-disc space occurs more often when the septic process is confined to the space than when an obvious wound infection is present. The clinical picture and findings on roentgenogram follow a rather typical course. The treatment outlined consists in external fixation, antibiotics, and surgical intervention in occasional patients. The use of appropriate antibiotics is strongly recommended despite the fact that less than one-half of the patients have a positive culture. After adequate treatment a reasonably successful recovery and return to a normal life can be expected. Patients in whom a spontaneous osseous fusion occurred had the best results.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

    Topics

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe




    Related Articles
    Related Cases
    Related Content
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Herpes virus infection can cause intervertebral disc degeneration: a causal relationship?
    The Journal of bone and joint surgery. British volume: Issue date- 2011 Sep
    Unnoticed small bowel perforation as a complication of lumbar discectomy.
    The spine journal : official journal of the North American Spine Society: Issue date- 2011 Jan
    Clinical Trials
    Readers of This Also Read...
    jbjs jobs
    12/22/2011
    VA - Charleston Area Medical Center
    12/22/2011
    ME - Central Maine Medical Center