Clinical Outcome of Surgical Management of Lumber and Dorsal Spontaneous Spondylodiscitis | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 1, Volume 98, Issue 1, January 2025, Pages 1-12 PDF (572.7 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2025.401089 | ||
| Abstract | ||
| Background: Spondylodiscitis is an inflammatory condition affecting the spine, discs, and paraspinal tissue. The global incidence is estimated at 4-24 cases/million people annually. Objective: This study aimed to evaluate the usefulness of surgery in the management of spondylodiscitis by comparing conservative and surgical approaches, as well as the link between risk factors and outcomes. Patients and methods: A prospective cohort study comprised 32 patients who met precise criteria for spondylodiscitis based on clinical presentation, radiographic findings, and laboratory testing. All patients were treated between January 2017 and January 2021 in the neurosurgery department at Menoufia University Hospitals. Full demographic data, clinical presentation, spinal levels involved, causative organism, risk factors and complications were assessed for each patient under study. Results: In our study, dorsal found in 20 (62.5%) of cases then lumbar in 8 (25.0%) followed by multilevel in 4 (12.5%). Also, 27 (84.4%) of cases improved, 3 (9.4%) under stabilization and 2 (6.3%) were deteriorated.The most common causative organism was TB found in 11 (34.4%) of cases then brucellosis and streptococcus in 4 (12.5%) followed by staphylococcus aureus in 3 (9.4%). The most common complications were intraoperative bleeding need transfusion and misdirected screw needed revision found in 2 (6.3%) of cases. Conclusion: Most patients with tuberculosis, instability, or deformity required spinal decompression and instrumentation. In this study, treatment with antibiotics, with or without surgical intervention, resulted in an 84.4% cure rate, 9.4% stabilization, and 6.3% deterioration. | ||
| Keywords | ||
| Clinical outcome; Conservative management; Spondylodiscitis; Surgical management | ||
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