Role of Surgery in Management of Discitis
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 72, Issue 11
Abstract
<strong>Background:</strong> discitis is an inflammation of the vertebral disc space which may spontaneous or post spinal surgery; that is often diagnosed late. With good response to conservative treatment and in some condition the plan of management is surgical.<strong> Aim of the Work: </strong>to assess the role of surgery in management of discitis and which approach is appropriate, with comparison between conservative and surgical management and the relationship between risk factors and outcome.<strong> Patients and Methods:</strong> this prospective and retrospective study was conducted on 25 patients of specific criteria confirmed to have discitis by clinical presentation, radiological findings and laboratory investigations.<strong> Results:</strong> discitis is more common in old age that occurred in lumbar more that dorsal or cervical disc space with risk factors such as failed spinal surgery (40%), DM (36%), HCV +ve (8%), TB (8%), Brucella (4%) and addiction (4%) of past history with affect the outcome. There was a statistically significant relation between location of discitis and pre modified ranking scale, while modified ranking scale pre and post management were statistically highly significant in each cervical, dorsal and lumbar.<strong> Conclusion: </strong>both conservative and surgical management have good outcome. But we observed that the risk factors like DM and addiction worsened the prognosis. We also observed that the shorter surgical maneuver the better is the outcome.
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP584386
- DOI 10.12816/ejhm.2018.11545
- Views 88
- Downloads 0
Evaluation of GERD Diagnosis, Management, and Outcomes
<strong>Background: </strong>Gastroesophageal Reflux Disease (GERD) is a condition which develops when the reflux of gastric content causes troublesome symptoms or complications. GERD is arguably the most common disease...
Fetal Head Circumference as a Predictor of Successful Spontaneous Vaginal Delivery
Background: Intrapartum head circumference is an integral part of sonographic models and important for the purpose of fetal weight estimation as well as in cases which abnormal fetal head growth is suspected, it is consi...
Head and Neck Malignancies are Mostly from Dermatological Origin
Head and neck cancer includes epithelial malignancies of the upper aerodigestive tract (UADT), including the paranasal sinuses, nasal cavity, oral cavity, pharynx, and larynx; and, as the sixth most common cancer...
New Agents in Treatment of Psoriatic Arthritis
Background: psoriatic arthritis is a long term inflammatory arthritis. Psoriatic arthritis is leading to bone erosion, joint destruction and associated with nail diseases, dactylitis, enthesitis, sponnylitis and uveitis....
Conservative Management versus Using of Bakri Balloon Catheter with Intrauterine Washing with Misoprostol in Cases of Atonic Postpartum Hemorrhage
Background: post partum hemorrhage is an obstetrical emergency that can follow vaginal or cesarean delivery. It is one of the bleeding causes of maternal mortality, especially in the developing countries. A step-wise app...