Microbial flora in spinal hematogenous osteomyelitis
Tikhodeev, S.A.; Manicheva, O.A.
Khirurgiia 9: 36-38
1997
ISSN/ISBN: 0023-1207 PMID: 9499133 Document Number: 470443
The analysis of microbic flora of the pus and granulations of 155 patients, operated on hematogenic osteomyelitis of vertebral column. The microbic agents were detected in 81.2% of the patients in subacute stage of the disease, in 48.5% of the patients with chronic stage and duration of the disease less than one year, and in 74.3% of the patients with the duration of the disease exceeding one year. In all cases monoculture was detected with the domination of Staphilococcus (69.2%-83.0%). A comparative analyses of the rate of penetration of the infective agents into the spongeous bone of a damaged vertebra. In case of resection of one third of the height of a vertebra the frequency of detection of an infective agent in subacute stage of a disease decreases 2 times, and in chronic stage-in 4 times. These data provides an opportunity of verification of indications for the surgery.