| Theme | Orthopedic Diseases Seen in Maintenance Dialysis Patients -- Surgical Indication and Non-indication | |
|---|---|---|
| Title | Pyogenic spondylitis in hemodialysed patients | |
| Publish Date | 2010/06 | |
| Author | Makoto Yanase | Department of Orthopaedic Surgery, Kaikoukai Nagoya Kyoritsu Hospital |
| Author | Takahiro Naruse | Department of Orthopaedic Surgery, Kaikoukai Rehabilitation Hospital |
| Author | Yumiko Horie | Department of Orthopaedic Surgery, Kaikoukai Nagoya Kyoritsu Hospital |
| Author | Hideki Takagi | Department of Orthopaedic Surgery, Kaikoukai Nagoya Kyoritsu Hospital |
| Author | Yukihiro Matsuyama | Department of Orthopaedic Surgery, Hamamatsu University School of Medicine |
| [ Summary ] | Patients with pyogenic spondylitis (PS) generally present with low back pain and systemic fever. Clinical features of this condition are not uniform, therefore the diagnosis of PS is sometimes difficult. Magnetic resonance imaging (MRI) can detect small changes in the spine in the early stages, which is very useful for diagnosising PS. MRIs are also useful for distinguishing destructive spondyloarthropathy from PS in the hemodialysed patient population. If the patient experiences pain and a high level of C-reactive proteins, MRI studies should be done on the affected spine as soon as possible. There has been a recent increase in PS caused by methicillin-resistant Staphylococcus aureus (MRSA). This study demonstrates that MRSA is frequently associated with PS patients who are receving hemodialysis and that their prognoses are poor. | |