Delayed spinal infection after internal fixation of the causes of.docVIP

 PAGE \* MERGEFORMAT 6 Delayed spinal infection after internal fixation of the causes of [Abstract] Objective To investigate the lumbar fixation with advanced infection with atypical etiology, diagnosis and treatment. Methods 3 cases of posterior internal fixation of delayed infection in retrospective studies, considering the patients with atypical symptoms medical history, symptoms, signs and treatment methods, combined with additional tests to be diagnosed and appropriate treatment, access to certain therapeutic experience. Results after conservative or surgical treatment of local and general malaise symptoms, laboratory findings returned to normal. Conclusion lumbar fixation complications of delayed infection exists, prevention should be considered before surgery, after close observation and timely manner. [Keywords:] lumbar spine surgery, surgical wound infections, complications, fracture fixation Retrospective study from May 2007 to January 2008 a total of 123 cases of spinal fixation, in which pedicle screw fixation in 3 cases of atypical local and systemic reactions. Are as follows. 1 Materials and Methods 1.1 General Information of this group were female, aged 32 to 55 years. 2 cases with total lumbar spinal stenosis laminectomy with pedicle screw fixation, and 1 case Lumbar compression fractures with open reduction and arch root screw fixation. were sterile surgical procedures were strictly followed the principles of operating procedures and routine disinfection, cut posterior pedicle screw fixation. 3 cases large differences in clinical manifestations, onset time is about 5 days to 12 weeks after surgery, early postoperative wound pain and other symptoms after the severe low back pain appeared, accompanied by fever, sweating, and bilateral radicular symptoms, pain, swelling and incision check the performance of the local paraspinal tenderness, straight leg raising test was positive, a large number of combined antibiotics and non-steroid