BMJ Best Practice
最后审核时间: 六月 2019
最近更新时间: 一月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 16 岁至 30 岁年龄段(外伤)
  • 30 岁至 50 岁年龄段(椎间盘疾病)
  • 40 岁至 75 岁年龄段(恶性肿瘤)

其他诊断因素

  • 恶性肿瘤史
  • 免疫抑制
  • 静脉毒品使用
  • 直肠括约肌反射丧失

危险因素

  • 年龄在 16-30 岁之间,男性
  • 创伤
  • 肿瘤
  • 骨质疏松症

诊断性检查

首要检查

  • 脊柱 MRI 检查
  • 脊柱的钆增强 MRI 检查
  • 脊柱 X 线平片
  • 脊柱 CT
全部具体信息

需要考虑的检查

  • 全血细胞计数及分类
  • 红细胞沉降率和 C 反应蛋白
  • 血液和脑脊液培养
  • 肿瘤活检和组织病理学检查
全部具体信息

治疗流程

贡献者

Kenneth F. Casey MD, FACS

Clinical Associate Professor Surgery (Neurosurgery)

Michigan State University

Clinical Associate Professor (Physical Medicine and Rehabilitation)

Wayne State University School of Medicine

Detroit

MI

利益冲突披露
KFC declares that he has no competing interests.

同行评议专家 查看所有

Professor of Neurology

Moffitt Cancer Center and Research Institute

University of Washington

Seattle

WA

利益冲突披露
MC is an author of several references cited in this topic.

Interventional Spine Physiatrist

Pain Medicine Specialist

Medical Director

Spine Center

Lahey Clinic

Burlington

MA

利益冲突披露
AGC declares that he has no competing interests.

Chief and Professor of Medicine

Division of Infectious Diseases and International Health

University of Virginia Health System

Charlottesville

VA

利益冲突披露
WAP declares that he has no competing interests.

Professor and Chief Physician

Orthopaedic Department

Clinic of the General Hospital of CPLA

Beijing

China

利益冲突披露
SH declares that he has no competing interests.

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