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Postoperative intervertebral disc space infection.

C E Rawlings, R H Wilkins, H A Gallis

    Neurosurgery
    |October 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

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    Postoperative disc space infection, a serious complication, presents with severe spinal pain and limited mobility. Early diagnosis via clinical signs, elevated sedimentation rate, and spinal tomography is crucial for effective treatment and recovery.

    Area of Science:

    • Orthopedics
    • Infectious Diseases
    • Neurosurgery

    Background:

    • Postoperative disc space infection is a rare but severe complication following spinal surgery.
    • Early identification and management are critical for patient outcomes.

    Purpose of the Study:

    • To review cases of postoperative disc space infection to identify characteristic symptoms, diagnostic findings, and treatment outcomes.
    • To emphasize the role of spinal tomography in early diagnosis.

    Main Methods:

    • Retrospective chart review of 27 patients with postoperative disc space infection.
    • Analysis of clinical presentation, physical and laboratory findings, radiographic changes, and treatment responses.
    • Bacteriological diagnosis via Craig needle biopsy in select cases.

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    Main Results:

    • Characteristic symptoms include severe spinal pain and limited mobility 7-30 days postoperatively.
    • Key findings include paravertebral muscle spasm, elevated erythrocyte sedimentation rate, and mild leukocytosis.
    • Spinal tomography revealed early radiographic changes, aiding diagnosis. Staphylococcus species were the most common pathogens.
    • Treatment with antibiotics and immobilization led to bony fusion in 19 patients and pain-free recovery in 25.

    Conclusions:

    • Postoperative disc space infection requires prompt diagnosis based on clinical suspicion, laboratory markers, and advanced imaging like spinal tomography.
    • Timely antibiotic therapy and spinal immobilization are effective treatments, though some patients may require further surgical intervention.