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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
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[Surgical Treated Spondylodiscitis Epidemiological Study].

Joaquim Soares do Brito1, António Tirado1, Pedro Fernandes1

  • 1Serviço de Ortopedia e Traumatologia. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa.

Acta Medica Portuguesa
|September 21, 2016
PubMed
Summary
This summary is machine-generated.

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Surgical treatment for spinal infections (spondylodiscitis) showed a predominance of tuberculosis in males. While overall cases remained stable, Staphylococcus aureus infections are increasing, often leading to complications like abscesses and neurological impairment.

Area of Science:

  • Spinal surgery
  • Infectious diseases
  • Epidemiology

Background:

  • Spondylodiscitis, a spinal infection, often requires medical management but may necessitate surgical intervention.
  • Understanding the epidemiology of surgically treated spondylodiscitis is crucial for optimizing patient care.
  • This study investigates the epidemiological profile of patients undergoing surgical treatment for spondylodiscitis.

Purpose of the Study:

  • To analyze the epidemiological characteristics of patients with spondylodiscitis who underwent surgical treatment.
  • To identify trends in pathogens and clinical presentations over a 17-year period.
  • To highlight the prevalence of complications associated with spondylodiscitis.

Main Methods:

  • Retrospective analysis of 85 patients with spondylodiscitis treated surgically between 1997 and 2013.

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A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
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  • Review of clinical data and imaging studies for each patient.
  • Identification of causative pathogens and assessment of associated complications.

    • Main Results:

    • The most frequent pathogen was Mycobacterium tuberculosis, with a predominance in males and a mean age of 48 years.
    • Lumbar spine involvement was most common; however, thoracic spine infections were associated with tuberculous etiology and neurological impairment.
    • While overall case numbers were stable, infections due to Staphylococcus aureus showed an increasing trend, with 39 patients developing paravertebral abscesses and 17 experiencing neurological deficits.

    Conclusions:

    • Tuberculous spondylodiscitis, particularly in males, was a significant finding, alongside an emerging trend of pyogenic infections caused by Staphylococcus aureus.
    • Paravertebral abscess and neurological impairment are critical complications, especially in tuberculous cases.
    • Surgical intervention remains vital for managing complex spinal infections, with ongoing surveillance for evolving pathogen prevalence.