Hyperbaric Oxygen Therapy for Spinal Infection Disease

  • Sameshima Koji
    Department of Orthopaedic Surgery, Nanpuh Hospital, Kagoshima, Japan
  • Kawauchi Yoshihisa
    Department of Orthopaedic Surgery, Nanpuh Hospital, Kagoshima, Japan
  • Maruyama Hiroyuki
    Department of Orthopaedic Surgery, Nanpuh Hospital, Kagoshima, Japan
  • Sasaki Hiromi
    Department of Orthopaedic Surgery, Nanpuh Hospital, Kagoshima, Japan
  • Yokouchi Masahiro
    Department of Orthopaedic Surgery, Faculty of Medicine, Kagoshima University, Kagoshima, Japan
  • Ijiri Kosei
    Department of Orthopaedic Surgery, Faculty of Medicine, Kagoshima University, Kagoshima, Japan
  • Ishido Yasuhiro
    Department of Orthopaedic Surgery, Faculty of Medicine, Kagoshima University, Kagoshima, Japan
  • Komiya Setsuro
    Department of Orthopaedic Surgery, Faculty of Medicine, Kagoshima University, Kagoshima, Japan

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Other Title
  • 感染性脊椎疾患に対する高気圧酸素療法を併用した保存療法

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Abstract

Excellent results were obtained in the use of hyperbaric oxygen therapy in conservative treatment for a spinal infection disease, are reported in this study.<BR>The records of eight patients with spinal infection were reviewed. Six patients had pyogenic spondylitis (cervical spine one case, thoracic spine two cases, lumbar spine three cases), and two patients had lumbar spine epidural abscess.<BR>The cause of infection was hematogenous infection in six cases, epidural tube in one, and stellate ganglion block in one. The conservative treatment plan consisted of feeding antibiotic agent after identification of the origin bacteria in the puncture of the lumber disc or blood culture and ten to 20 hyperbaric oxygen therapy sessions.<BR>Good results (CRP normal) were achieved in six cases, and fair (CRP degradation) in two cases.<BR>Discharge took ten to 60 days from start of treatment (an average of 34.2 days).<BR>For spinal infection diseases without neurological symptoms, conservative treatment was the treatment of first choice, but good results were provided when hyperbaric oxygen therapy was combined.

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