A clinical analysis of surgical treatment for spontaneous XXXX .

@entity1 @entity6 @entity16 @entity1513 @entity794 @entity1511 @entity281 @entity733 @entity158 @entity702
OBJECTIVE: The purpose of the study was to determine the clinical effects of anterior radical debridement on a series of @entity1 with spontaneous @entity281 . METHODS: We retrospectively analyzed the clinical characteristics of 32 @entity1 who underwent surgical treatment from January 2000 to December 2005 in our department. The average follow-up Period was 33.4 months (range, 6 to 87 months). Thirty-two @entity1 presented with the following : 23 cases with @entity1511 , eight with @entity1511 and one with @entity1511 . The indications for surgery were intractable @entity158 , failure of medical management, @entity16 with or without an associated @entity733 causing spinal instability and/or segmental @entity1513 . RESULTS: The study included 15 (46.9%) males and 17 (53.1%) females ranging in age from 26 to 75 years (mean, 53.1 years). @entity6 ( @entity6 ) and pulmonary Tbc were the most common predisposing factors for @entity1511 and @entity1511 . @entity794 (13%) was the main organism isolated. The most prevalent location was the lumbar spine (75%). Changes in the @entity158 score, Frankel's classification, and laboratory parameters demonstrated a significant clinical improvement in all @entity1 . However, there were recurrent infections in two @entity1 with @entity1511 and inappropriate debridement and intolerance of medication and noncompliance. Autologous rib, iliac bone and allograft (fibular) were performed in most @entity1 . However, 10 @entity1 were grafted using a @entity702 mesh cage after anterior radical debridement. There were no recurrent infections in the 10 cases using the mesh cage with radical debridement. CONCLUSION: The findings of this study indicate that surgery based on appropriate surgical indications is effective for the control of @entity281 and prevention of recurrence with anterior radical debridement, proper drug use and abscess drainage.
