POS1154 CHARACTERISTICS OF SURGICALLY TREATED TUBERCULOUS AND BRUCELLAR SPONDYLODISCITIS

Background: Although rare in most developed countries, tuberculous and brucellar spondylodiscitis are still frequent the mediterranean countries. Management of may require a surgical intervention cases spinal cord or root compression, bone destructions deformities, unsuccessfull medical treatment large abcesses. Objectives: To study characteristics outcome surgically treated spondylodiscitis. Methods: Medical records patients who were admitted into physical therapy rehabilitation ward immediately post surgery spine retrospectively studied. The included from January 2010 to December 2020. Results: Twenty diagnosed with for which they underwent surgery. mean age diagnosis was 49.7± 11.9 years. sex ratio 1:1. delayed 60% due atypical presentations. Fatigue reported 45% patients, back pain cases, radicular 15% fever 20% abnormal gait cases. Tuberculosis identified 75% infection 25% On biology, elevated inflammatory markers noted Intradermal reaction tuberculosis positive 9 while cultures allowed 1 patient. Wright serology test confirmed all 5 In remaing ones, vertebral biopsy intraoperative samples Cervical involvement 5% lumbar dorsal 30% All recieved antibiotics immobilization. Surgery indicated 78.6% decompression 21.4% voluminous Anterior approach used 7.1% posterior 92.9% 23.1% benifited concomitantly fusion Post operative success by recovery normal 15.4% patients. Complications after 35.7% They consisted instability abcesses emergence secondary articular localizations 28.6% second mainly stabalize spine. Before surgery, walking impossible 65% 12 months only couldn’t walk (p=0.001). 15.8% later on pressure ulcers prescribed appropriate wheelchairs. Conclusion: Spinal spondylitis be if is insufficient especially neurological complications occur. invasive various but sometimes it could option treat deficit. References: [1]Guerado E, Cerván AM. Surgical An update. Int Orthop 2012; 36: 413–420. Disclosure Interests: None declared.