scholarly journals Sacroiliac joint dysfunction in patients with imaging-proven lumbar disc herniation

1998 ◽  
Vol 7 (6) ◽  
pp. 450-453 ◽  
Author(s):  
R. Galm ◽  
M. Fröhling ◽  
M. Rittmeister ◽  
E. Schmitt
2021 ◽  
Author(s):  
Yujia Li ◽  
Jiepeng Xiong ◽  
Yun Gu ◽  
Min Yu ◽  
Ke Chou

Abstract Background: Sacroiliac joint infection is uncommon in clinical. It's initial symptoms are usually nonspecific, often confused with tuberculosis, septic arthritis of the hip, osteitis of the ilium and lumbar disc herniation which make it difficult to early diagnosis. There is few report about the sacroiliac joint infection, especially with multiple huge abscesses.Case presentation: A 29 years old male who developed pain of the right buttock, and firstly was diagnosed as lumbar disc herniation, then sacroiliac joint tuberculosis. The therapeutic effect was not satisfactory. We performed surgical debridement for him and get the clear diagnosis which is staphylococcus aureus infection of sacroiliac joint. After thoroughly debrided, the symptoms disappeared with adequate and regular antibiotic therapy.Conclusions: For sacroiliac joint infection, clinical suspicion is low, the condition is uncommon, and the general incidence is unknown. It's presentation is diverse. So when encountered similar situations, the sacroiliac joint infection should be considered, and the pathogen should be identified, in order to treat it correctly as soon as possible.


2019 ◽  
Vol 12 (2) ◽  
pp. 139-146
Author(s):  
Mladen E. Ovcharov ◽  
Iliya V. Valkov ◽  
Milan N. Mladenovski ◽  
Nikolay V. Vasilev

Summary Lumbar disc herniation (LDH) is the most common pathology in young people, as well as people of active age. Despite sophisticated and new minimally invasive surgical techniques and approaches, reoperations for recurrent lumbar disc herniation (rLDH) could not be avoided. LDH recurrence rates, reported in different studies, range from 5 to 25%. The purpose of this study was to estimate the recurrence rates of LDH after standard discectomy (SD) and microdiscectomy (MD), and compare them to those reported in the literature. Retrospectively, operative reports for the period 2012-2017 were reviewed on LDH surgeries performed at the Neurosurgery Clinic of Dr Georgi Stranski University Hospital in Pleven. Five hundred eighty-nine single-level lumbar discectomies were performed by one neurosurgeon. The diagnoses of recurrent disc herniation were based on the development of new symptoms and magnetic resonance/computed tomography (MRI/CT) images showing compatible lesions in the same lumbar level as the primary lumbar discectomies. The recurrence rate was determined by using chi-square tests and directional measures. SD was the most common procedure (498 patients) followed by MD (91 patients). The cumulative reoperation rate for rLDH was 7.5%. From a total number of reoperations, 26 were males (59.1%) and 18 were females (40.9%). Reoperation rates were 7.6% and 6.6% after SD and MD respectively. The recurrence rate was not significantly higher for SD. Our recurrence rate was 7.5%, which makes it comparable with the rates of 5-25% reported in the literature.


2018 ◽  
Vol 8 (5) ◽  
pp. 14-19
Author(s):  
Tri Truong Van ◽  
Tri Tran Duc Duy ◽  
Khai Vo Le Quang

Introduction: Surgical wound infection in developing coutries is about 3%. Antibiotics prophylaxis may help to reduce the surgical site infection. The objective of this study was to evaluate the efficacy of antibiotics prophylaxis in patients with lumbar disc herniation who were treated with lumbar discectomy at Hue University hospital. Materials and Methods: A prospective study was conducted at Hue University hospital from March 2015 to May 2018 on 54 patients with lumbar disc herniation who were used antibiotics prophylaxis when undergoing discectomy. Results: The infection rate in our study was 0%. Antibiotics prophylaxis reduced the length of hospitalization as well as the medical cost. Conclusion: Antibiotics prophylaxis was effective in preventing surgical site infection despite the fact that the condition of operating rooms did not meet the standard rules. Key words: prophylaxis antibiotics, lumbar disc herniation


Sign in / Sign up

Export Citation Format

Share Document