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Pyogenic spondylitis. Analysis of three surgically treated cases
Annales Chirurgiae Et Gynaecologiae
|January 1, 1979
Summary
Surgical intervention for pyogenic spondylitis, involving vertebral focus evacuation and bone grafting, effectively treated severe infections when antibiotics failed. Patients experienced full recovery and returned to work, with no recurrences observed.
Area of Science:
- Orthopedics
- Infectious Diseases
- Spinal Surgery
Background:
- Pyogenic spondylitis presents with severe back pain, fever, and elevated ESR.
- Early radiological changes are often delayed, averaging 3 months post-symptom onset.
- Antibiotic therapy alone may be insufficient for complete infection eradication.
Observation:
- Three patients with pyogenic spondylitis underwent surgery between 1964-1973.
- Surgical procedures included vertebral focus evacuation and bone transplantation.
- Patients were monitored for an average of 8 years post-operation.
Findings:
- All surgically treated patients achieved a cure from fulminant spondylitis.
- Two out of three patients returned to their regular work.
- No instances of spondylitis recurrence were noted during the follow-up period.
Implications:
- Surgical treatment is a viable option for refractory pyogenic spondylitis.
- Indications for surgery include paravertebral infection spread and inadequate antibiotic response.
- This approach offers a high success rate for managing severe spinal infections.