Chronic osteomyelitis of the pelvis

Rishikesan Ramaesh, Mark S Gaston, Hamish Simpson

Research output: Contribution to journalArticlepeer-review

Abstract

The aim of this study was to examine the aetiology and response to treatment of a series of patients with pelvic osteomyelitis. Criteria for selection were multiple positive intra-operative cultures and/or a positive radiological diagnosis. Twenty patients met these criteria (age range: 21-78 years, mean = 46). Data was recorded on host status using the Cierny-Mader classification, neurological status, causative organisms; sensitivities were recorded and the treatment and its outcome. Pelvic osteomyelitis was frequently caused by unusual organisms; a high incidence (45%) of neurologically compromised patients was noted. There were important differences in infective organisms, treatment and outcome in the paraplegic and non-paraplegic population. A high mortality and a high incidence of squamous cell carcinoma was observed. Pelvic osteomyelitis should be managed differently to long bone osteomyelitis as far as the antibiotic therapy is concerned, with a greater need for broad spectrum antibiotics in pelvic osteomyelitis. The response to surgical resection was similar to long bone osteomyelitis with a high chance of success with marginal resection in type A hosts and with wide resection in type B hosts.

Original languageEnglish
Pages (from-to)280-6
Number of pages7
JournalActa Orthopaedica Belgica
Volume79
Issue number3
Publication statusPublished - Jun 2013

Keywords

  • Adult
  • Aged
  • Bone Neoplasms
  • Carcinoma, Squamous Cell
  • Chronic Disease
  • Comorbidity
  • Female
  • Humans
  • Male
  • Middle Aged
  • Osteomyelitis
  • Paraplegia
  • Pelvic Bones
  • Treatment Outcome

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