Table 2 Summary of patients’ data
From: Early surgical debridement and fixation for pyogenic lumbar spondylodiscitis
Number of patients | Demographic data | Presentation | Imaging | Laboratory findings | Complications | Hospital stay | Functional outcome | |
|---|---|---|---|---|---|---|---|---|
Spontaneous group | 15 | -9 males -6 females -5 patients (diabetics) -No other co-morbidities | -Severe back pain -Paravertebral muscle spasm and tenderness -Radiation to the buttocks, thighs, and legs -No motor deficits -Fatigue and fever in 9 patients | -MRI: hyperintensity of the affected levels and the adjacent vertebral bodies in all patients -CT: loss of disc height and endplate erosion in 9 cases -Levels affected: L3–4: 6 patients L4–5:7 patients L5–S1: 2 patients | -Leukocytosis reported in 8 patients -Mean CRP at the time of diagnosis 74.8 mg/l (range 24–106) -Mean ESR at the time of diagnosis was 81.3 mm/FHR (range 33–124) -Pathogen detected: Staph. aureus: 6 E. coli: 4 No pathogen could be detected in 5 patients | -Superficial wound infection in 3 patients with one case needing secondary sutures. -No hardware failure or malposition was reported. - No dural tears or CSF leakage | - Mean 7.8 days (range 6–11 days) | -At the time of hospital discharge: Score 1: 2 patients Score 3: 9 patients Score 4: 4 patients -In the follow-up period: Score 1: 5 Score 2: 3 Score 3: 4 Score 4: 3 -Excellent and good outcomes: 12 patients |
Iatrogenic group | 10 | -7 males -3 females -3 patients (diabetics) -No other co-morbidities | -Severe back pain -Para vertebral muscle spasm and tenderness -Radiation to the buttocks, thighs, and legs -No motor deficits -Fatigue and fever in 3 patients. Wound infection with persistent wound discharge in 4 patients starting from the 6th to the 12th day postoperative. | -MRI: hyperintensity of the affected levels and the adjacent vertebral bodies in all patients -CT: no Loss of disc height and endplate erosion was reported -Levels affected: L3–4: 1 patient L4–5: 6 patients L5–S1: 3 patients | -Leukocytosis reported in 6 patients -Mean CRP at the time of diagnosis 93.1 mg/l (range 17–115) -Mean ESR at the time of diagnosis was 90.7 mm/FHR (range 52–130) -Pathogen detected: Staph. aureus: 7 E. coli: 2 No pathogen could be detected in 1 patient | Superficial wound infection in 1 patient -No hardware failure or malposition was reported. -No dural tears or CSF leakage | -Mean 5.6 days (range 4–9 days) | -At the time of hospital discharge: Score 2: 2 patient Score 3: 5 patients Score 4: 3 patients -In the follow-up period: Score 1: 4 Score 2: 2 Score 3: 3 Score 4: 1 - Excellent and good outcomes: 9 patients |