AETIOLOGICAL, CLINICAL AND LABORATORY COMPARISON OF THE PATIENTS WITH SPINAL INFECTION: PRELIMINARY REPORT
Journal Title: Journal of Turkish Spinal Surgery - Year 2008, Vol 19, Issue 4
Abstract
Purpose: To evaluate patients with brucellar spondylodiscitis (BS), tuberculous spondylodiscitis (TS) and pyogenic spondylodiscitis (PS) clinically, radiologically and with labaratory findings, and aid the clinician in determining the etiological agent Method: Fifty-eight patient with spondylodiscitis were recruited. They were divided into 3 groups as BS, TS and PS. All of the patients were evaluated by clinical, laboratory and radiological methods. Results: Of the 58 patients included in the study 30 were men and 28 were women, with a mean age of 52.1±14.2 (23-84). According to the etiological agent there were 13 men ad 14 women in the BS group; 6 men and 8 women in the TS group, and 11 men and 6 women in PS group. In the PS group, the microorganism isolated mostly S aureus. In the PS group, the presence of risk factors and elevation of acut phase reactans were statistically significant. In the radiological examination of the TS group thoracical vertebrae, especially their posterior segments were involved. In all groups low back pain and back pain were the mostly encountered syptoms. In the BS group elevated body temperature with respect to other groups and the sufficiency of noninvasive methods in the diagnosis were observed. Discussion: In patients with symptoms of spinal infection (low back pain, bac pain, fever) and a history of tuberculosis and involvement of toracal vertebrae TS must be considered. In those a history of brucellosis and occupational exposure and, if there is lomber vertebrae involvement BS must be considered, and finally in patients with concomitant diseases, a history of trauma and surgery and with elevated acute phase reactions, PS should be kept in mind.
Authors and Affiliations
Özlem KANDEMİR, Abtullah MİLCAN, Mustafa UĞUZ
Keywords
Related Articles
- EP ID EP676585
- DOI -
- Views 96
- Downloads 0
RELATION BETWEEN LUMBAR DEGENERATIVE DISC DISEASE AND HUMAN 8-HYDROXYDEOXYGUANOSINE (8-OHDG) SERUM LEVEL
Aim: Lumbar degenerative disc disease (LDDD) identified as multifactorial, irreversible and degenerative discopathy. The 8-hydroxy-2 deoxyguanosine (8-OHdG) is a nucleoside oxidation of DNA marker of oxidative stress....
VERTEBROPLASTY AND KYPHOPLASTYIN METASTATIC SPINAL TUMORS
Spinal metastases may develop in one third of all cancer patients. The presenting symptom is usually the pain; however, metastatic involvement may result in serious problems like instability and fractures. Vertebroplasty...
TREATMENT PRINCIPLES İN SPINAL FRACTURES DUE TO GUNSHOT VVOUNDS
We evaluated retrospectivety the results of 19 patients who had spinal fractures due to gunshot wounds in the Orthopaedics and Traumatology Department of Gülhane Military Medicat Academy betvveen January 1988 and May 199...
DO BOTULINUM TOXIN-A INJECTIONS INTO THE PARASPINAL MUSCLES CREATE AN IDIOPATHIC LIKE SCOLIOSIS: AN IN VIVO STUDY ON RATS
Objective: Scoliosis is a spine deformity and also involves some adaptive changes of in paraspinal muscles and ligaments. Some studies found paraspinal EMG activity differences, thus, we hypothesized that blocking the...
THORACOSCOPIC SPINE OPERATIONS : CASE REPORT
Via thoracoscopic approach to thoracic vertebrae; abscess drainage, biopsy, diskectomy, anterior release and fusion operations can be performed. !n this manuscript, our initial experience with thoracoscopic spine surgery...