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Operative Treatment of Adult Pyogenic Spondylodiscitis: A Retrospective Study of 32 Cases
Background Spondylodiscitis is a potentially life-threatening infection that imposes a significant financial burden on healthcare systems. Current reports suggest an increase in the incidence of spondylodiscitis, which could be attributed to the aging population and the growing rates of drug abuse....
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8171352/ https://www.ncbi.nlm.nih.gov/pubmed/34094774 http://dx.doi.org/10.7759/cureus.14820 |
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author | Poutoglidou, Frideriki Metaxiotis, Dimitrios Saloupis, Panagiotis Mpeletsiotis, Anastasios |
author_facet | Poutoglidou, Frideriki Metaxiotis, Dimitrios Saloupis, Panagiotis Mpeletsiotis, Anastasios |
author_sort | Poutoglidou, Frideriki |
collection | PubMed |
description | Background Spondylodiscitis is a potentially life-threatening infection that imposes a significant financial burden on healthcare systems. Current reports suggest an increase in the incidence of spondylodiscitis, which could be attributed to the aging population and the growing rates of drug abuse. This study aims to evaluate the safety and effectiveness of surgical treatment of spondylodiscitis. Materials and methods Thirty-two cases diagnosed with spondylodiscitis and treated operatively between 2010 and 2015 were enrolled in this study. Indications for surgery were progressive neurologic involvement, progressive spinal deformity or instability, impending fracture, epidural abscess, and poor response to antibiotics. Patients underwent a single-stage procedure. A combined anterior and posterior approach was used in 28 of the patients. In 20 patients, a titanium mesh cage was used for reconstruction. The mean follow-up was 5.6 years. Results There were 18 males and 14 females. The mean age of the patients was 68.4 years (range 56-78). The cervical spine was affected in two cases (6.3%), the thoracic spine in 12 cases (37.5%), and the lumbar spine in 18 cases (56.3%). The most commonly isolated microorganisms were Staphylococcus aureus and Escherichia coli. There was neither mortality nor severe complications. Fusion was achieved in all the patients. There was complete resolution of the neurologic deficits that were recorded preoperatively. No signs of recurrent or residual infection were recorded until the last follow-up. Conclusions Our data suggest that early detection and surgical intervention of spondylodiskitis is associated with favorable outcomes. |
format | Online Article Text |
id | pubmed-8171352 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-81713522021-06-04 Operative Treatment of Adult Pyogenic Spondylodiscitis: A Retrospective Study of 32 Cases Poutoglidou, Frideriki Metaxiotis, Dimitrios Saloupis, Panagiotis Mpeletsiotis, Anastasios Cureus Orthopedics Background Spondylodiscitis is a potentially life-threatening infection that imposes a significant financial burden on healthcare systems. Current reports suggest an increase in the incidence of spondylodiscitis, which could be attributed to the aging population and the growing rates of drug abuse. This study aims to evaluate the safety and effectiveness of surgical treatment of spondylodiscitis. Materials and methods Thirty-two cases diagnosed with spondylodiscitis and treated operatively between 2010 and 2015 were enrolled in this study. Indications for surgery were progressive neurologic involvement, progressive spinal deformity or instability, impending fracture, epidural abscess, and poor response to antibiotics. Patients underwent a single-stage procedure. A combined anterior and posterior approach was used in 28 of the patients. In 20 patients, a titanium mesh cage was used for reconstruction. The mean follow-up was 5.6 years. Results There were 18 males and 14 females. The mean age of the patients was 68.4 years (range 56-78). The cervical spine was affected in two cases (6.3%), the thoracic spine in 12 cases (37.5%), and the lumbar spine in 18 cases (56.3%). The most commonly isolated microorganisms were Staphylococcus aureus and Escherichia coli. There was neither mortality nor severe complications. Fusion was achieved in all the patients. There was complete resolution of the neurologic deficits that were recorded preoperatively. No signs of recurrent or residual infection were recorded until the last follow-up. Conclusions Our data suggest that early detection and surgical intervention of spondylodiskitis is associated with favorable outcomes. Cureus 2021-05-03 /pmc/articles/PMC8171352/ /pubmed/34094774 http://dx.doi.org/10.7759/cureus.14820 Text en Copyright © 2021, Poutoglidou et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Orthopedics Poutoglidou, Frideriki Metaxiotis, Dimitrios Saloupis, Panagiotis Mpeletsiotis, Anastasios Operative Treatment of Adult Pyogenic Spondylodiscitis: A Retrospective Study of 32 Cases |
title | Operative Treatment of Adult Pyogenic Spondylodiscitis: A Retrospective Study of 32 Cases |
title_full | Operative Treatment of Adult Pyogenic Spondylodiscitis: A Retrospective Study of 32 Cases |
title_fullStr | Operative Treatment of Adult Pyogenic Spondylodiscitis: A Retrospective Study of 32 Cases |
title_full_unstemmed | Operative Treatment of Adult Pyogenic Spondylodiscitis: A Retrospective Study of 32 Cases |
title_short | Operative Treatment of Adult Pyogenic Spondylodiscitis: A Retrospective Study of 32 Cases |
title_sort | operative treatment of adult pyogenic spondylodiscitis: a retrospective study of 32 cases |
topic | Orthopedics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8171352/ https://www.ncbi.nlm.nih.gov/pubmed/34094774 http://dx.doi.org/10.7759/cureus.14820 |
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