Journal of Spine

Motohide Shibayama

Publications

• Case Report
  Supplemental Antibiotic Injections into the Disc Eradicate Lumbar Pyogenic Spondylodiscitis and Reduce Residual Lumbago
  Author(s): Motohide Shibayama, Guang Hua Li, Kenzo Shimizu, Yasushi Miura, Nakamura Shu, Yamada Minoru, Zenya Ito and Fujio ItoMotohide Shibayama, Guang Hua Li, Kenzo Shimizu, Yasushi Miura, Nakamura Shu, Yamada Minoru, Zenya Ito and Fujio Ito
  
  The standard treatment for lumbar pyogenic spondylodiscitis is an intravenous antibiotic. If conservative treatment fails, surgery is indicated. However, many patients suffer from residual lumbago after prolonged conservative treatment, and invasive surgery is problematic in poorly conditioned patients. We developed a new treatment in which intravenous antibiotics are supplemented by multiple injections of antibiotic directly into the infected disc. Here we report our experience with twenty adult patients. Shortly after infection was diagnosed, we performed the needle biopsy that we reported followed by direct antibiotic injection into the infected disc. Antibiotic was injected twice weekly until inflammation subsided. The average number of injections was 6.8. Infection was eradicated in all cases. Surgery was needed in two cases (10%): one because of acute paralysis and one because o.. Read More»
  DOI: 10.4172/2165-7939.1000406

  Abstract PDF