Spine Infections (Tuberculosis/pyogenic/fungal) скачать в хорошем качестве

Spine Infections (Tuberculosis/pyogenic/fungal)

Dr Himanshu Tyagi, Senior consultant Orthopaedic & spine surgeon. Phone : 9654095717 MCh Orthopaedics (U.K), FNB Spine surgery, DNB Orthopaedics. Spinal Infections Spinal infections can be classified by the anatomical location involved: the vertebral column, intervertebral disc space, the spinal canal and adjacent soft tissues. Infection may be caused by bacteria or fungal organisms and can occur after surgery. Most postoperative infections occur between three days and three months after surgery. Vertebral osteomyelitis is the most common form of vertebral infection. It can develop from direct open spinal trauma, infections in surrounding areas and from bacteria that spreads to a vertebra from the blood. Intervertebral disc space infections involve the space between adjacent vertebrae. Disc space infections can be divided into three subcategories: adult hematogenous (spontaneous), childhood (discitis) and postoperative. Spinal canal infections include spinal epidural abscess, which is an infection that develops in the space around the dura (the tissue that surrounds the spinal cord and nerve root). Subdural abscess is far rarer and affects the potential space between the dura and arachnoid (the thin membrane of the spinal cord, between the dura mater and pia mater). Infections within the spinal cord parenchyma (primary tissue) are called intramedullary abscesses. Adjacent soft-tissue infections include cervical and thoracic paraspinal lesions and lumbar psoas muscle abscesses. Soft-tissue infections generally affect younger patients and are not seen often in older people. Risk factors for developing spinal infection include conditions that compromise the immune system, such as: Advanced age Intravenous drug use Human immunodeficiency virus (HIV) infection Long-term systemic usage of steroids Diabetes mellitus Organ transplantation Malnutrition Cancer Surgical risk factors include surgeries of long duration, high blood loss, implantation of instrumentation and multiple, or revision, surgeries at the same site. Infections occur in 1-4% of surgical cases. Causes Spinal infections can be caused by either a bacterial or a fungal infection in another part of the body that has been carried into the spine through the bloodstream. The most common source of spinal infections is a bacterium called staphylococcus aureus, followed by Escherichia coli. Spinal infections may occur after a urological procedure, because the veins in the lower spine come up through the pelvis. The most common area of the spine affected is the lumbar region. Intravenous drug abusers are more prone to infections affecting the cervical region. Recent dental procedures increase the risk of spinal infections, as bacteria that may be introduced into the bloodstream during the procedure can travel to the spine. Intervertebral disc space infections probably begin in one of the contiguous end plates, and the disc is infected secondarily. In children, there is some controversy as to the origin. Most cultures and biopsies in children are negative, leading experts to believe that childhood discitis may not be an infectious condition, but caused by partial dislocation of the epiphysis (the growth area near the end of a bone), as a result of a flexion injury. Vertebral Osteomyelitis Severe back pain Fever Chills Weight loss Muscle spasms Painful or difficult urination Neurological deficits: weakness and/or numbness of arms or legs, incontinence of bowels and/or bladder Spinal Canal Infections Adult patients often progress through the following clinical stages: Severe back pain with fever and local tenderness in the spinal column Nerve root pain radiating from the infected area Weakness of voluntary muscles and bowel/bladder dysfunction Paralysis #Spinalinfections #Tuberculosis #spinalinfectionstreatment # #spinalinfections #spine #backpain #spinehealth #spinesurgeon #slipdisc #drhimanshutyagi #bestspinesurgeon #scoliosis #scoliosistreatment #scoliosissurgery #kneepain #kneereplacement #kneesurgeon #kneearthritis #knee #kneepainhomeremedies #neckpain #neckpaintreatment #neck #cervicaldischerniation #cervicalpain #cervicalspondylosis #cervicalspine #cervical_spondylosis #lumbar #lumbarfusion #lumbarpain #lumbarspondylosis #lumbarspine #surgery #surgeryresults #surgery .............................................................................. SUBSCRIBE to get updates on new videos. For Appointment Call Us: +91-9654095717 or visit: https://www.drhimanshutyagi.in/ .............................................................................. Follow us for more! Facebook:   / drhimanshutyagi   Instagram:   / drhimanshurtyagi   Linkedin:   / drhimanshutyagi   चैनल सब्सक्राइव कर Bell बटन दवाएं -https://bit.ly/3HeVHum ..............................................................................