caa a22 4500 445833734 CHVBK 20180317145323.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1007/s00586-010-1659-4 doi (NATIONALLICENCE)springer-10.1007/s00586-010-1659-4 Pyogenic spondylitis in the elderly: a report from Japan with the most aging society [Elektronische Daten] [Mitsunori Yoshimoto, Tsuneo Takebayashi, Satoshi Kawaguchi, Hajime Tsuda, Kazunori Ida, Takuro Wada, Toshihiko Yamashita] Pyogenic spondylitis can be life-threatening for elderly patients. To discuss the characteristics of the disease in the elderly, medical records of 103 consecutive cases of pyogenic spondylitis were reviewed. Of these, 45 cases were 65years of age or older, and these 45 cases were enrolled into further study. In this study, the proportion of elderly patients among the total number with pyogenic spondylitis was 43.7%, and this figure has increased with the passing of time as follows: 37.5% (1988-1993), 44.4% (1994-1999), and 55.5% (2000-2005). The microorganisms were isolated in 16 cases: Staphylococcus aureus in 13 cases (including methicillin-resistant Staphylococcus aureus in nine) and others in three. Twenty-five patients had associated diseases: diabetes in 18 patients and malignant tumors in seven. Thirty patients were treated conservatively, and 15 patients underwent surgery. Twenty-six patients had paralysis. All 15 patients treated surgically, and eight of the 11 patients treated conservatively showed improvement in paralysis. Bone union was achieved in all cases except one. Our results indicate that a good outcome can be expected from conservative treatment in elderly patients as well as the young. Springer-Verlag, 2010 Pyogenic spondylitis nationallicence Elderly patients nationallicence Treatment nationallicence Paralysis nationallicence Methicillin-resistant Staphylococcus aureus nationallicence Yoshimoto Mitsunori Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, S1 W16, 060-8543, Sapporo, Hokkaido, Japan aut Takebayashi Tsuneo Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, S1 W16, 060-8543, Sapporo, Hokkaido, Japan aut Kawaguchi Satoshi Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, S1 W16, 060-8543, Sapporo, Hokkaido, Japan aut Tsuda Hajime Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, S1 W16, 060-8543, Sapporo, Hokkaido, Japan aut Ida Kazunori Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, S1 W16, 060-8543, Sapporo, Hokkaido, Japan aut Wada Takuro Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, S1 W16, 060-8543, Sapporo, Hokkaido, Japan aut Yamashita Toshihiko Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, S1 W16, 060-8543, Sapporo, Hokkaido, Japan aut European Spine Journal Springer-Verlag 20/4(2011-04-01), 649-654 0940-6719 20:4<649 2011 20 586 https://doi.org/10.1007/s00586-010-1659-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1659-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yoshimoto Mitsunori Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, S1 W16, 060-8543, Sapporo, Hokkaido, Japan aut NATIONALLICENCE 700 1- Takebayashi Tsuneo Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, S1 W16, 060-8543, Sapporo, Hokkaido, Japan aut NATIONALLICENCE 700 1- Kawaguchi Satoshi Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, S1 W16, 060-8543, Sapporo, Hokkaido, Japan aut NATIONALLICENCE 700 1- Tsuda Hajime Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, S1 W16, 060-8543, Sapporo, Hokkaido, Japan aut NATIONALLICENCE 700 1- Ida Kazunori Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, S1 W16, 060-8543, Sapporo, Hokkaido, Japan aut NATIONALLICENCE 700 1- Wada Takuro Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, S1 W16, 060-8543, Sapporo, Hokkaido, Japan aut NATIONALLICENCE 700 1- Yamashita Toshihiko Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, S1 W16, 060-8543, Sapporo, Hokkaido, Japan aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/4(2011-04-01), 649-654 0940-6719 20:4<649 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer