To evaluate the long term outcomes of patients with thoracolumbar spondylodiscitis treated surgically by posterior approach. Outcomes include bony fusion, neurological improvement, pain improvement, implant related complication, recurrence of infection and or reoperation rate
spondylodiscitis is characterized by infection that primarily affects the intervertebral disc and adjacent vertebrae. The estimated incidence of spondylodiscitis, ranging from 0.2 to 10 per 100,000 inhabitants per year, has increased in recent years, which is likely associated with an aging population, higher prevalence of chronic disease, and more effective diagnostic techniques. Spondylodiscitis is a life-threatening disease with a mortality rate of 2-20% that is often associated with potential complications, such as paraspinal abscess, epidural abscess, meningitis, spinal instability, and neurologic deficiency. The relapse rates were reported to be as high as 32% in the literature. The aims of this study are to evaluate improvements, complications, recurrence and reoperation rates in Assiut university hospitals.
Study Type
OBSERVATIONAL
Enrollment
40
Bony fusion success
the degree of bridging bone across the fused vertebral bodies by using x-ray, CT scan and MRI if needed
Time frame: 2 years
modified Oswestry disability index
for patient quality of life postoperative
Time frame: 2 years
visual analogue scale
the amount of pain sensed by the patient pre and post-operative
Time frame: 2years
American spinal injury Association (ASIA) Impairment score
to asses neurological outcomes pre operative and at 2 years follow up.
Time frame: 2 years
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