Management of post operative lumbar spondylodiscitis | ||||
| Minia Journal of Medical Research | ||||
| Volume 31, Issue 2, April 2020, Page 38-41 PDF (305.83 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjmr.2022.220833 | ||||
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| Authors | ||||
| Medhat M. El-Sawy; Ahmed M. Moawad; Waleed Z. Nanous; Ahmed A. Mohammed Ali | ||||
| Department of Neurology and Psychiatry, El-Minia Faculty of Medicine | ||||
| Abstract | ||||
| Introduction: Spondylodiscitis is a rare but serious infection of the intervertebral disc with possibly devastating outcome. The peak incidence is in patients under 20 years of age and between 50 and 70 years of age. The incidence ranges from 0.4 - 2.5 per 100,000 per year. Spondylodiscitis occurs secondary to a variety of causes, most notably bloodstream infections (e.g. Staphylococcus aureus) and after surgery. Aim of the work: The aim of the work is to compare between conservative management versus fixation in treatment of post operative lumbar spondylodiscitis and prognosis of each one.. Patients and Methods: Forty cases with post operative lumbar spondylodiscitis admitted to Minia university hospital reviewed retrospectively. Twenty of them underwent surgical decompression with fixation and the other twenty were treated conservatively. Results: Group 1: 20 patients (50%) for conservative management. Group 2: 20 (50%) patients underwent surgical fixation – 16 of them by screws only and 4 by screws and cage. Results according to Age & sex Table (1) The age ranged between 37 years and 67 years with mean/SD (52.57±7.09). As regarding sex, 26 patients were males (65%) and 14 were females (35%). Distribution of the studied cases according to demographic data (n= 40). Conclusion: Surgical management of post operative lumbar spondylodiscitis provides less rate of complications than conservative management. There is statistically significant difference between both method of management as regards of post operative complications, VAS score improvement, final clinical outcome (KWC) and post operative neurological status according to ASIA . So surgical fixation is recommended for management in post operative lumbar spondylodiscitis. | ||||
| Keywords | ||||
| Spondylodiscitis; intervertebral disc; post operative | ||||
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