Analysis of the Curative Effect of Posterior Approach on Lumbar Brucellar Spondylitis with Abscess through Magnetic Resonance Imaging under Improved Watershed Algorithm

Abstract

To explore the performance of improved watershed algorithm in processing magnetic resonance imaging (MRI) images and the effect of the processed images on the treatment of lumbar brucellar spondylitis (BS) with abscess by the posterior approach, the watershed algorithm was improved by adding constraints such as noise reduction and regional area attribute. 50 patients with abscessed lumbar disc herniation admitted to the hospital from January 2018 to January 2019 were selected, and all of them were examined by MRI. They were rolled into two groups in random. The treatment group (n = 25) accepted surgery with the aid of MRI images processed by the improved watershed algorithm, and the control group (Ctrl group) (n = 25) accepted surgery with the aid of unprocessed MRI images. The improved watershed algorithm can accurately segment the spine, and the segmentation results were relatively excellent. In contrast with the unprocessed MRI image, that processed by the improved watershed algorithm had a positive effect on the operation. In contrast with the Ctrl group, the visual analogue scale pain score (VAS), oxygen desaturation index (ODI), erythrocyte sedimentation rate (ESR), and high sensitivity C-reactive protein (CRP) were obviously lower ( p < 0.05 ). The improved watershed algorithm proposed performs better in MRI image processing and can effectively enhance the resolution of MRI images. At the same time, the posterior approach has a good effect in the treatment of lumbar BS with abscess and is worthy of clinical promotion.

One-stage posterior surgery combined with anti-Brucella therapy in the management of lumbosacral brucellosis spondylitis: a retrospective study

“…It had been reported in the literature that posterior surgery was more practical for intraspinal granulation and abscess removal, especially for patients with intraspinal nerve damage caused by posterior column lesions. While the combined anterior and posterior surgery was recommended for patients with perivertebral abscess, psoas abscess, or greater anterior column destruction [7]. In this study, the posterior surgery was successfully performed in all patients, since the paravertebral abscess combined with spinal nerve compression symptoms occurred in most patients (83.6%).…”

“…The indications and timing of surgical intervention were still controversial. But the current recognition was that the surgery should be prepared for patients whose Brucella poisoning symptoms cannot be effectively improved by anti-Brucella therapy (6 weeks of medication and 1 week of drug withdrawal), and combined with one of the following symptoms [7,23,24]: paravertebral abscess or psoas abscess; intervertebral disc destruction; spinal structure instability; accompanied by other bacterial infections.…”

“…It remained a serious public health problem in livestock regions, such as northern China, Australia, the Mediterranean region, and India [2,3]. A total of 240,000 people worldwide were at risk, with more than 500,000 new cases annually, and 10-85% of patients might be accompanied by involvement of the skeletal system [4][5][6][7].…”

Comparison of two surgical interventions for lumbar brucella spondylitis in adults: a retrospective analysis

“…The traditional method involves a one-stage anterior debridement, bone grafting, and posterior instrumentation, but this approach is associated with drawbacks such as prolonged surgical duration, technical complexity, and the need for intraoperative positional adjustments. In recent years, there has been an increasing adoption of a one-stage posterior pedicle fixation, debridement, and interbody fusion technique as researchers delve further into the study of Brucella spondylitis 25 – 27 . Nevertheless, there is limited literature available that directly compares the clinical effectiveness of the two surgical methods for managing LBS.…”

Improved Watershed Algorithm-Based Microscopic Images Combined with Meibomian Gland Microprobe in the Treatment of Demodectic Blepharitis

“…A fast algorithm under the precipitation watershed has been proposed in some works. Compared with the traditional algorithm, the algorithm is more sensitive to the edge and is prone to oversegmentation and undersegmentation [ 16 , 17 ]. Label extraction in the image is a method of controlling oversegmentation.…”