Long Term Follow up of Patients With Thoracolumbar Spondylodiscitis Treated Surgically by Posterior Approach in Assiut University Hospitals
试验速览
- 阶段
- 不适用
- 入组人数
- 40
- 主要终点
- Bony fusion success
研究概览
简要总结
To evaluate the long term outcomes of patients with thoracolumbar spondylodiscitis treated surgically by posterior approach.
Outcomes include bony fusion, neurological improvement, pain improvement, implant related complication, recurrence of infection and or reoperation rate
详细描述
spondylodiscitis is characterized by infection that primarily affects the intervertebral disc and adjacent vertebrae. The estimated incidence of spondylodiscitis, ranging from 0.2 to 10 per 100,000 inhabitants per year, has increased in recent years, which is likely associated with an aging population, higher prevalence of chronic disease, and more effective diagnostic techniques. Spondylodiscitis is a life-threatening disease with a mortality rate of 2-20% that is often associated with potential complications, such as paraspinal abscess, epidural abscess, meningitis, spinal instability, and neurologic deficiency. The relapse rates were reported to be as high as 32% in the literature. The aims of this study are to evaluate improvements, complications, recurrence and reoperation rates in Assiut university hospitals.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 20 Years 至 85 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •• All patients had thoracolumbar spondylodiscitis from number 1 thoracic vertebra till number 1 sacral vertebra.
- •Treated surgically by posterior approach only.
排除标准
- •• Patients with incomplete follow up.
- •Multifocal discitis.
结局指标
主要结局
Bony fusion success
时间窗: 2 years
the degree of bridging bone across the fused vertebral bodies by using x-ray, CT scan and MRI if needed
次要结局
- modified Oswestry disability index(2 years)
- visual analogue scale(2years)
- American spinal injury Association (ASIA) Impairment score(2 years)
研究者
Micheal Bassem Elia
Principal investigator
Assiut University
