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[Postoperative lumbar discitis].

M Natale1, M Lama, R D'Avanzo

  • 1I Facoltà di Medicina e Chirurgia, Università degli Studi di Napoli.

Minerva Anestesiologica
|April 1, 1992
PubMed
Summary
This summary is machine-generated.

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Post-operative discitis, an infection following lumbar disc surgery, presents with specific symptoms and lab markers. Early diagnosis and treatment with immobilization and antibiotics are crucial for recovery.

Area of Science:

  • Infectious Diseases
  • Neurosurgery
  • Radiology

Context:

  • Discitis is a potential complication after herniated lumbar disc surgery.
  • Early diagnosis can be challenging due to negative acute-stage imaging.
  • Recognizing a specific clinical syndrome is key.

Purpose:

  • To describe the experience with 19 cases of post-operative discitis.
  • To highlight diagnostic challenges and key indicators.
  • To evaluate treatment effectiveness.

Summary:

  • Post-operative discitis presents 3-30 days after surgery with back pain, muscle spasm, limited mobility, and fever.
  • Elevated Erythrocyte Sedimentation Rate (ESR) and White Blood Cell (WBC) counts are important laboratory findings.
  • Radiographic findings like disc space narrowing appear 4-6 weeks later; CT scans require specific signs (swelling, erosion, abscess) for diagnosis.

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Impact:

  • Effective treatment involves spinal immobilization and appropriate antibiotic therapy.
  • Adherence to aseptic principles during surgery and radiology procedures is vital for prevention.
  • This study emphasizes timely diagnosis and management of this serious complication.