Related Experiment Videos
[Spondylodiscitis after operation for lumbar disc herniation]
1Department of Neurosurgery, Ohtsu Municipal Hospital, Shiga, Japan.
No Shinkei Geka. Neurological Surgery
|February 1, 1996
Summary
Postoperative spondylodiscitis (POD) risk factors include male sex, longer operation times, and increased bleeding. Early diagnosis via ESR, CRP, and MRI aids antibiotic treatment and recovery.
Area of Science:
- Neurosurgery
- Infectious Diseases
- Radiology
Context:
- Postoperative spondylodiscitis (POD) is a rare but severe complication following lumbar disc surgery.
- This study investigated risk factors and clinical presentation in patients who developed POD after herniated lumbar disc surgery.
Purpose:
- To identify risk factors associated with POD after lumbar disc surgery.
- To describe the clinical, laboratory, and imaging findings in patients diagnosed with POD.
Summary:
- A case-control study matched 5 POD patients with 870 controls. Significant risk factors identified were male sex, prolonged operation time, and increased intraoperative bleeding.
- Clinical presentation included post-operative low back pain, elevated erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP).
- Magnetic resonance (MR) imaging revealed characteristic changes in vertebral bodies and disc spaces during acute and subacute phases, resolving with antibiotic treatment.
Impact:
- Findings suggest that male patients, longer surgical durations, and greater blood loss increase POD risk.
- Early detection using inflammatory markers and MRI is crucial for timely antibiotic intervention.
- Successful treatment leads to symptom resolution and normalization of inflammatory markers and imaging findings.