Surgical Treatment of Patients With Spondylodiscitis and Neurological Deficits Caused by Spinal Epidural Abscess (SEA) is a Predictor of Clinical Outcome

Abstract

Surgical treatment of patients with spondylodiscitis and neurological deficits caused by SEA is a predictor of clinical outcome.

Spondylodiscitis: Diagnosis and Treatment Options

“…Gupta et al showed that surgical treatment often fails within the first 6 months, whereas the failure rate at 2 years is similarly high to that at 5 and 10 years (5). Rossbach et al demonstrated that the prognosis of neurological deficits, independent of the surgical approach used, is improved by 1 or 2 Frankel scores (measurement of spinal cord function) if decompression of the causal epidural abscess is achieved (29). On the whole, back pain often persists irrespective of the selected treatment approach.…”

Outcome of conservative and surgical treatment of pyogenic spondylodiscitis: a systematic literature review

“…The descriptive RCS by Rossbach et al presented the results of a cohort of patients with spondylodiscitis and a subgroup in which the spondylodiscitis was complicated by a spinal epidural abscess [32]. Patients with a neurological deficit caused by an epidural abscess had a statistically significant better prognosis than patients with other causes of neurological deficit [32] (Table 6). …”

“…Similarly, four included study populations consisted of 0.9-13.5 % children and adolescent patients [4,6,27,34]. Additionally 3 other studies contained patients between 16 and 18 years of age; however, the number of these patients is not described [32,35,36]. A total number of 31 children and adolescents have described in the included studies and represent 1.3 % of the study population in this review [4,6,27,34].…”

“…This resulted in 25 included studies (Table 3). Ten studies containing only a minority of tuberculosis or postoperative infection cases (2.9-38 %) were included in the review [16][17][18][27][28][29][30][31][32][33]. At total of 75 patients in the current review had tuberculosis and 52 patients had a postoperative infection, which represented, respectively, 3.1 and 2.2 % of all included patients.…”

“…Fifteen of the included studies contain a minority of patients that no completely meet our inclusion criteria [4, 16-18, 27-36, 44]. Ten studies include a small number patients with tuberculosis and postoperative infections representing, respectively, 3.1 and 2.2 % of the included patient in this review [16][17][18][27][28][29][30][31][32][33]. Moreover seven studies included children and adolescents representing 1.3 % of the study population of this review [4,27,32,[34][35][36]44].…”