Role of Surgery in Management of Discitis | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 25, Volume 72, Issue 11, July 2018, Pages 5666-5672 PDF (245.22 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2018.11545 | ||
| Authors | ||
| Amr Hasan Yousef* ; Ahmed M El-Sherif; Yousef. A. Barakat | ||
| Department of Neurosurgery, Faculty of Medicine, Al-Azhar University | ||
| Abstract | ||
| Background: discitis is an inflammation of the vertebral disc space which may spontaneous or post spinal surgery; that is often diagnosed late. With good response to conservative treatment and in some condition the plan of management is surgical. Aim of the Work: to assess the role of surgery in management of discitis and which approach is appropriate, with comparison between conservative and surgical management and the relationship between risk factors and outcome. Patients and Methods: this prospective and retrospective study was conducted on 25 patients of specific criteria confirmed to have discitis by clinical presentation, radiological findings and laboratory investigations. Results: discitis is more common in old age that occurred in lumbar more that dorsal or cervical disc space with risk factors such as failed spinal surgery (40%), DM (36%), HCV +ve (8%), TB (8%), Brucella (4%) and addiction (4%) of past history with affect the outcome. There was a statistically significant relation between location of discitis and pre modified ranking scale, while modified ranking scale pre and post management were statistically highly significant in each cervical, dorsal and lumbar. Conclusion: both conservative and surgical management have good outcome. But we observed that the risk factors like DM and addiction worsened the prognosis. We also observed that the shorter surgical maneuver the better is the outcome. | ||
| Keywords | ||
| Discitis; failed spinal surgery; conservative and surgical management | ||
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