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A Retrospective Analysis of the Management of Postoperative Discitis: A Single Institutional Experience.

Santhanam R, Lakshmi K - Asian Spine J (2015)

Bottom Line: Retrospective study.The study was carried out over a period of 6 years.Surgical intervention with posterior interbody fusion and debridement is helpful when conservative treatment fails.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, Sree Balaji Medical College and Hospital, Bharath University, Chennai, India.

ABSTRACT

Study design: Retrospective study.

Purpose: The aim of the study was to study the impact and outcome of conservative management and surgical intervention in cases of postoperative discitis.

Overview of literature: Postoperative discitis is a rare but often misdiagnosed cause of failed back syndrome. There is paucity of literature regarding management guidelines of postoperative discitis.

Methods: The study was carried out over a period of 6 years. Eighteen patients with postoperative discitis were included in the study.

Results: Conservative management with antibiotics, analgesics and bed rest were started in all the study cases. Posterior transpedicular fixation after re-exploration debridement and curettage of disc space granulation tissue was conducted in five patients in whom conservative management failed.

Conclusions: Early diagnosis and appropriate management is the key to effective treatment of postoperative discitis. Conservative management leads to excellent results in majority of cases. Surgical intervention with posterior interbody fusion and debridement is helpful when conservative treatment fails.

No MeSH data available.


Related in: MedlinePlus

X-ray lumbosacral spine showing L4, L5, S1 level transpedicular fusion.
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Figure 2: X-ray lumbosacral spine showing L4, L5, S1 level transpedicular fusion.

Mentions: The other four cases did not respond to conservative management. Hence, 5 of the 18 cases were finally selected for surgery. Re-exploration debridement and curettage of disc space granulation tissue with posterior transpedicular fixation was conducted in all cases (Fig. 2). They were mobilised within 48 hours after surgery. None of them had any neurological deterioration or wound infection.


A Retrospective Analysis of the Management of Postoperative Discitis: A Single Institutional Experience.

Santhanam R, Lakshmi K - Asian Spine J (2015)

X-ray lumbosacral spine showing L4, L5, S1 level transpedicular fusion.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4522446&req=5

Figure 2: X-ray lumbosacral spine showing L4, L5, S1 level transpedicular fusion.
Mentions: The other four cases did not respond to conservative management. Hence, 5 of the 18 cases were finally selected for surgery. Re-exploration debridement and curettage of disc space granulation tissue with posterior transpedicular fixation was conducted in all cases (Fig. 2). They were mobilised within 48 hours after surgery. None of them had any neurological deterioration or wound infection.

Bottom Line: Retrospective study.The study was carried out over a period of 6 years.Surgical intervention with posterior interbody fusion and debridement is helpful when conservative treatment fails.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, Sree Balaji Medical College and Hospital, Bharath University, Chennai, India.

ABSTRACT

Study design: Retrospective study.

Purpose: The aim of the study was to study the impact and outcome of conservative management and surgical intervention in cases of postoperative discitis.

Overview of literature: Postoperative discitis is a rare but often misdiagnosed cause of failed back syndrome. There is paucity of literature regarding management guidelines of postoperative discitis.

Methods: The study was carried out over a period of 6 years. Eighteen patients with postoperative discitis were included in the study.

Results: Conservative management with antibiotics, analgesics and bed rest were started in all the study cases. Posterior transpedicular fixation after re-exploration debridement and curettage of disc space granulation tissue was conducted in five patients in whom conservative management failed.

Conclusions: Early diagnosis and appropriate management is the key to effective treatment of postoperative discitis. Conservative management leads to excellent results in majority of cases. Surgical intervention with posterior interbody fusion and debridement is helpful when conservative treatment fails.

No MeSH data available.


Related in: MedlinePlus