Medium-term outcome of posterior surgery in the treatment of non-tuberculous bacterial spinal infection

J Orthop. 2019 Jun 19;16(6):569-575. doi: 10.1016/j.jor.2019.06.021. eCollection 2019 Nov-Dec.

Abstract

Objective: to evaluate the outcome of posterior spinal stabilization surgery for the management of bacterial spinal infection.

Methods: 21 patients with bacterial infection were managed surgically with posterior stabilization. Outcome measures included neurological status. Follow-up data collected using Spine Tango COMI questionnaires and Euro Qol EQ-5D.

Results: The mean improvement in neurological deficits was 0.91 Frankel grade. Residual symptoms of pain had no or minor effect on the work or usual activities in 52% of subjects, with 88% reported having either no or mid problems with mobility.

Conclusion: Posterior surgery can improve neurological outcome in approximately half of the patients.

Keywords: Discitis; Infection; Spine; Spondylodiscitis; Surgery.