Postoperative Lumbar Spondylodiscitis Following Transforaminal Endoscopy and Outcomes of Transforaminal Lumbar Interbody Fusion

Objective: To describe the presentation spectrum of postoperative spondylodiscitis (POS<i>e</i>) following transforaminal endoscopic lumbar discectomy and to report outcomes interbody fusion (TLIF).Methods: This study analyzed all patients with classic features POS<i>e</i> who underwent index surgery elsewhere presented us. They had not responded conservative care for 3 weeks were operated further open TLIF. The treatment response was judged by declining values inflammatory markers, improvements in mobility, decreases pain. Patients’ using a visual analogue scale (VAS), Oswestry Disability Index (ODI), occurrence complications. Radiological assessed implant stability. demographic analyzed. PubMed searched find incidence organisms involved.Results: Fifteen primarily interventionalists four surgeons among 19 finally TLIF at Stavya Spine Hospital & Research Institute. Organism culture positivity found 10 no results present 9 cases. All cases follow-up 52.94 ± 13.66 months (range, 28–71 months). preoperative back pain VAS improved from 9.47 0.61 (8–10) 0.42 0.50 (0–1). leg 5.78 4.19 (6–10) 0.52 ODI 87.01 7.70 (73.33–97.79) 7.36 8.14 (0–26.67). No major complications occurred. Cure infection stable reconstruction achieved patients.Conclusion: has very low reported incidence. Standardization training sterilization would reduce its However, aggressive early nonresponding produces beneficial results.