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CC BY-NC-ND 4.0 · Asian J Neurosurg 2018; 13(03): 703-706
DOI: 10.4103/ajns.AJNS_233_16
Original Article

Management of postoperative discitis: A review of 31 patients

Deepak Singh
Department of Neurosurgery, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh
,
Neha Singh
1   Departement of Radiodiagnosis and Imaging, King George's Medical University, Lucknow, Uttar Pradesh
,
Praveen Das
2   Department of Anesthesiology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh
,
Deepak Malviya
2   Department of Anesthesiology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh
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Background: The aim of the study was to retrospectively evaluate the outcome of medical management of postoperative discitis (POD). Materials and Methods: A total of 31 patients treated for POD were included in the study. Clinical, radiological, and laboratory data of all patients were collected and evaluated. All patients were treated initially with bed rest and antibiotic therapy after radiological diagnosis. Surgical management was undertaken after failure of 4 weeks of conservative management. All cases were followed clinically with laboratory and radiological investigations. Results: Five cases failed to respond to medical management and were treated surgically with debridement and transpedicular fixation. All patients showed clinical recovery till the last follow-up. Conclusion: Early diagnosis and proper management are the keys to successful outcome of postoperative spndylodiscitis. Surgical debridement and fusion are required when conservative treatment fails.

Key-words:

Discitis - spinal infections - spine surgery - vertebral osteomyelitis


Publikationsverlauf

Artikel online veröffentlicht:
14. September 2022

© 2018. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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