Epidemiological Profile of Patients with Spondylodiscitis Treated at the Hospital Da Restauracao
Author(s):
Jesuino Albino1,4*, Hildo Rocha Cirne de Azevedo Filho1, Deoclides Lima Bezerra Junior1, Milton Ignacio de Carvalho Tube1, Emily de
Carvalho Batista2, Aparecida Aylara Isabella Souza Goncalves2, Gustavo Carvalho Cavalcante Nogueira2, Jônatas Pinto Pinheiro de Sousa2,
Juda Magno Silva Oliveira3
and Levi Lucena Diogenes3
Introduction: Spondylodiscitis is a global term that includes vertebral osteomyelitis, spondylitis and discitis, representing approximately 3 to 5% of all cases of osteomyelitis. It occurs in around 0.5 to 2.5 cases per 100,000 inhabitants/year, with men being more affected. It has a bimodal peak incidence, the first peak up to 20 years and the second between 50 and 70 years. Most cases have an indication for non-surgical treatment, so surgery is reserved for specific cases.
Objective: To analyze the epidemiology of the population affected by spondylodiscitis and assess the response to surgical treatment. Methods: We conducted a prospective cohort study in a tertiary center in Pernambuco, Recife, Brazil, investigating spondylodiscitis in all patients with back pain without a history of trauma or neurological deficit without a diagnosis of degenerative spine disease. The diagnosis of spondylodiscitis was confirmed in all cases with magnetic resonance imaging. The study period was two years.
Results: During the study period, we diagnosed 31 patients with spondylodiscitis, 58% were male, the mean age was 64.9 years, the main comorbidities were systemic arterial hypertension, dialysis renal failure and diabetes, previous non-neurological surgeries (Caesarean births, permanent vascular catheter for dialysis, cardiac surgery on the iac etc.) were identified as a risk factor, 58% of patients have motor weakness and L4-L5 were the most frequent level affected. Antibiotic therapy was used in accordance with current guidelines.
Conclusion: The clinical profile of our patients was 6 decades of life, male patients with neurological disabilities, clinical management has favorable results.
