Abstract
Global comparison of The outcome of surgical techniques for spondylodiscitis Jessica Burton@, Thamer Hamdan*, Bisola Ajayi#, Mohsen Raza$, Angelo Fragkakis&, Cristina Lupu^, Timothy Bishop%, Jason Bernard! & Darren Lui**. @MB,ChB student. *Professor of Orthopaedic Surgery at Basrah University, Visiting Professor at London Imperial College and Research Fellow as Saint George’s Hospital London. #Orthopaedic and Spine Physician Associate. $Orthopaedic Registrar. &Spine Fellow. ^ Spine CNS. %Orthopaedic Spinal Surgeon. !Orthopaedic Spinal Surgeon. **Orthopaedic Spinal Surgeon. Department of Trauma and Orthopaedics, Saint George’s University Hospital, London, UK. Abstract Spondylodiscitis is an infection of the intervertebral disc and neighbouring bone. It is treated conservatively or surgically using a range of techniques. The aim of this review is to determine whether the surgical techniques between different countries have an effect on clinical outcome: postoperative complications, relapse rate, treatment failure rate or mortality rate. Many articles were screened using Ovid and Pubmed databases for studies pertaining to the surgical treatment of spondylodiscitis. Paediatric studies, tubercular/brucellar/fungal/ postoperative infection and case reports were excluded from this review. The results shows that no differences in the outcome of surgery between countries was found, and reasons for this along with solutions for moving forward with comparing surgical techniques worldwide are noted. Key words: Spondylodiscitis, Surgery, Outcome, Comparison, Literature review
Highlights
Spondylodiscitis is an infection of the intervertebral disc and neighbouring bone
Once Spondylodiscitis has been diagnosed, though often this is a prolonged process[1], antibiotic therapy will begin and whether surgery or a more conservative approach is appropriate will be decided though there are no strict guidelines as to what treatment technique should be implemented such as antibiotic duration, which antibiotics, surgery type or immobilisation type[2]
This review only focuses on the difference between surgical techniques
Summary
Spondylodiscitis is an infection of the intervertebral disc and neighbouring bone. It is treated conservatively or surgically using a range of techniques. The aim of this review is to determine whether the surgical techniques between different countries have an effect on clinical outcome: postoperative complications, relapse rate, treatment failure rate or mortality rate. Many articles were screened using Ovid and Pubmed databases for studies pertaining to the surgical treatment of spondylodiscitis. Paediatric studies, tubercular/brucellar/fungal/ postoperative infection and case reports were excluded from this review. SIntroduction pondylodiscitis is a big umbrella term that covers spondylitis, discitis, and vertebral osteomyelitis. It is an infection of the vertebral body plus its neighbouring intervertebral disc. This review only focuses on the difference between surgical techniques
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