مقاله تخصصی
Spinal infection and its treatment
3 months ago
545 بازدید
Dr. Mohammad Hossein Delshad
تهرانpain companions
**Spinal infection** is a serious condition....This condition occurs when bacteria, viruses, or fungi enter the spinal tissue.These foreign agents can affect any part of the spine, including the spinal discs, spinal canal, spine, spine, spine, and spine. These external factors cause infection of the intervertebral disc, doctors know this disease as discitis or disc inflammation. When things like virus, fungus or bacteria attack the spine, it is called osteomyelitis or spinal infection. - Epidural abscess: accumulation of pus in the epidural space around the spinal cord.
- Vertebral osteomyelitis: infection of the bones of the spine
These diseases can lead to permanent damage to the spine and even paralysis, so timely diagnosis and treatment are very important.
Usually, these infections are transmitted to the spine through the bloodstream.. For example, bacteria enter the bloodstream following events such as surgery or drug abuse.Infection in the spine is a serious problem and there is a possibility of damage to this part of the body.. It is also possible for vertebrae to dislocate and fracture.Depending on the type An infection that occurs in the spine will have different symptoms.Risk factors and causes of this complication
Anything that introduces bacteria into the bloodstream and weakens the immune system will eventually lead to a spinal infection.For example, people on immunosuppressant medications often develop secondary infections...these can be mild like a simple sprain or very serious like osteomyelitis It should also be noted that if you have recently undergone spine or pelvic surgery, the risk of infection in the spine increases greatly.. Expands.... Other problems that increase the chance of infection include diabetes, malnutrition, cancer, and HIV.What are the symptoms of a spinal infection
Symptoms from this condition develop gradually.. For example, you may notice that you have a cold within a week, while it takes between three days and three months for patients to develop a spinal infection.If you suspect this condition, see a doctor as soon as possible... But a spinal infection is considered an emergency.. In fact, to prevent these infections, you should Exacerbate about 20% of infections.. Serious treatment... Common symptoms include: back pain and neck stiffness... - anorexia, fever or chills
- night sweat
- Intensification of back pain at night and not treating it with rest
- Immobility or loss of range of motion
- warmth or redness at the site of surgical incisions or skin surface
- Pus secretions from wounds after surgery or unhealed wounds
How is it diagnosed?
This condition can be diagnosed with laboratory tests and imaging... If you are still in the early stages of the infection, your doctor will start with X-rays to make a diagnosis.However, X-rays cannot see soft tissue such as spinal discs...but a decrease in disc height and bone loss can be seen.Laboratory diagnosis includes checking white blood cell counts or signs of inflammation. What is the treatment of spinal infection?
Treatment solutions include:### Antibiotics and brace use
To fix this complication, your doctor will probably recommend you to use a brace and antibiotics in combination.... In most cases, this method of treatment will help your recovery process.### Laminectomy
If there is an abscess in the spine, the surgeon may recommend a laminectomy to relieve pressure on the spinal cord.
During a laminectomy, he removes the back of the vertebra to increase space in the spinal cord.### Fusion surgery (ALIF)
During this surgery, the doctor removes the source of infection from the spine and then performs spinal fusion.### Kyphoplasty
If your back vertebrae are broken due to an infection, the doctor must perform this operation for treatment... During this operation, the doctor removes the infection and injects cement into the broken vertebra.How to prevent infection in the spine?
Some of the things that can be prevented from this disease are as follows:- Avoid injecting drugs that have not been prescribed for you and also avoid dirty needles.
- You should control your diabetes according to the doctor's prescription.
- Keep any scratches or cuts away from the possibility of skin infection... If you have a wound, clean it well.
- To have a healthy life, you must have proper nutrition, exercise and enough sleep.
recovery process
If treatment is started, a spinal infection may improve within one to six weeks...however, full recovery may take up to six months.Without treatment, severe damage to the spine, septicemia (blood poisoning caused by bacteria) may occur, leading to serious conditions for the patient. If the treatment is delayed, it is possible: - nerve damage and partial or complete paralysis
- Chronic pain
- Spread of infection to the spinal cord or brain
- Permanent mobility disability
