gms | German Medical Science

57th Annual Meeting of the German Society of Neurosurgery
Joint Meeting with the Japanese Neurosurgical Society

German Society of Neurosurgery (DGNC)

11 - 14 May, Essen

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Surgical treatment for cervical spondylodiscitis

Chirurgische Behandlung bei Entzündung der Halswirbelsäule

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  • corresponding author S. Asamoto - Spine and Spinal Cord Center, Tokyo Mita Hospital, International University of Health and Welfare, Tokyo
  • Y. Fukui - Spine and Spinal Cord Center, Tokyo Mita Hospital, International University of Health and Welfare, Tokyo
  • H. Jimbo - Spine and Spinal Cord Center, Tokyo Mita Hospital, International University of Health and Welfare, Tokyo
  • M. Ishikawa - Spine and Spinal Cord Center, Tokyo Mita Hospital, International University of Health and Welfare, Tokyo
  • K. Hatayama - Spine and Spinal Cord Center, Tokyo Mita Hospital, International University of Health and Welfare, Tokyo
  • S. Maeno - Spine and Spinal Cord Center, Tokyo Mita Hospital, International University of Health and Welfare, Tokyo
  • T. Mitsuyama - Spine and Spinal Cord Center, Tokyo Mita Hospital, International University of Health and Welfare, Tokyo
  • T. Kawasaki - Spine and Spinal Cord Center, Tokyo Mita Hospital, International University of Health and Welfare, Tokyo

Deutsche Gesellschaft für Neurochirurgie. Japanische Gesellschaft für Neurochirurgie. 57. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie. Essen, 11.-14.05.2006. Düsseldorf, Köln: German Medical Science; 2006. DocP 11.180

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dgnc2006/06dgnc397.shtml

Published: May 8, 2006

© 2006 Asamoto et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Objective: We present our experience in the surgical treatment of cervical spondylodiscitis.

Methods: 29 patients with spondylodiscitis were studied. There were 17 men and 12 women, with age ranging from 26 to 85 years. Of the 29 cases, there were 7 cervical spondylodiscitis patients. All patients were pyogenic spondylodiscitis. 4 patients presented with paresis, 3 without paresis and 3 patients with diabetes mellitus. 4 patients were performed surgical intervention.

Results: 5 patients were judged as “excellent”, 1 patient as “good,” and 1 patient as “no change.”

Conclusions: The aggressive treatment of spondylodiscitis is indicated when conservative means are insufficient. Especially, about the cervical spondylodiscitis, whether it is good only in “decompression” or it is very difficult to ascertain enough “fusion” or “rigid fixation” whether it is necessary.