Abstract
Background. Chronic cervico-thoracic infectious spondylitis is an etiologically heterogeneous diseases group with vertebral destruction in the C6-Th3. There is no unified surgical strategy for such patients. The aim of the study was to examine the technical features and long-term results of surgical treatment of chronic infectious spondylitis of the cervico-thoracic spine and to systematize the literature data. Materials and methods. The analyzed cohort of 18 operated patients. The follow-up results in 11 patients with chronic nonspecific and 7 with tuberculous spondylitis were evaluated. The complex of clinical and radiological parameters were studied.Results. Chronic infectious spondylitis in cohort was classified as types B.3 (n1 = 10), C.2 (n2 = 4), C.3 (n3 = 1) and C.4 (n4 = 3) according to Pola E et al. (2017). The mean age at the time of surgery was 48 years 3 months [20; 71]. The influence of etiology of chronic spondylitis on the prevalence of destructive process (F = 8.761, p = 0.009), on the intensity of back pain (F = 5.802, p = 0.028) was revealed. The analysis of quality of life indicates a greater degree of social maladaptation in tuberculous spondylitis both according to the NDI (p = 0.018) and SF-12 (p = 0.002). Conclusions. Chronic infectious cervico-thoracic spondylitis is a rare and poorly studied pathology. The analysis of the information on this issue and the evaluation of our accumulated experience allowed us to propose a number of tactical tools for planning surgery.
Published Version
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