CASES' DIAGNOSED WITH SPONDYLODISCITIS DURING THE YEARS 2010–2020. DIAGNOSIS, TREATMENT AND COMPLICATIONS

Abstract Introduction Spondylodiscitis is a rare infectious pathology with high morbidity and mortality that affects the intervertebral disc adjacent vertebrae. It most commonly found in lumbar spine. mainly caused by haematogenous dissemination. diagnostic challenge because its main manifestation, low back pain, prevalent symptom population. Methods A retrospective study of patients diagnosed spondylodiscitis between 2010–2020 (n=60) was carried out. Exclusion criteria (n=14): follow-up less than one year, previous spinal surgery, first year mortality. Measurements made plain radiology. Statistical analysis STATA 15.2. significance p<0,05. Results Average age: 68.17 years, 55% were males, 45% females. Risk factors analyzed: 26.09% had diabetes, 8.70% kidney disease, 6.52% rheumatism, PVDA; about smoking 10.87% smokers, 17.39% ex-smokers 71.74% non-smokers; prescriptions immunosuppressants 19.57% cancer before or during this episode. 50% infection (n=23); 34.78% urinary infection, 13.04% knee prosthesis, 8.69% respiratory endocarditis 30.43%, 17.36% another sort infection. The average delay to diagnosis 40.36 days (SD 37.68). Total duration antibiotic therapy, including hospital stay those which ambulatory: 134 129.96); hospitalization: 43 days. Surgical treatment performed 15.56% patients. spacer technique used 14.29% patients; although fixation 71.42% patients, majority posterior 57.14%, anterior only 14.29%. acute complications order, abscess nearly half (n=22), phlegmon (n=3), vertebral destruction (n=2) meningitis (n=1). No differences obtained angle kyphosis after (p. 052), no increase due surgery (p=0.62), difference cure targeted (p=0.57), nor surgical (p=0.95), percentage (p=0.76). Conclusions non-specific symptoms, leads delay. rate medical high, but it essential identify causal germ order initiate antibiotherapy avoid appearance long-term sequelae.