Surgical Treated Spondylodiscitis Epidemiological Study
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549 |
Resumo: | Introduction: The term spondylodiscitis aims to describe any spinal infection. Medical treatment is the gold standard; nevertheless, surgical treatment can be indicated. The aim of this work was to study the epidemiological profile in a group of patients with spondylodiscitis surgically treated in the same medical institution between 1997 and 2013. Material and Methods: Eighty five patients with spondylodiscitis were surgically treated in this period. The authors analysed clinical data and image studies for each patient.Results: We treated 51 male and 34 female patients with an average age of 48 years old (min: 6 - max: 80). The lumbar spine was more often affected and Mycobacterium tuberculosis the most frequent pathogen. The number of cases through the years has been grossly stable, with a slight increase of dyscitis due to Staphylococcus aureus and decrease of the dyscitis without pathogen identification. Paravertebral abscess was identified in 39 patients and 17 had also neurological impairment, mostly located in the thoracic spine and with tuberculous aetheology. Immunosuppression was documented in 10 patients. Discussion: In this epidemiologic study we found a tuberculous infection, male gender and young age predominance. Despite a relative constant number of patients operated over the years, pyogenic infections due to Staphylococcus aureus seems to be uprising. Paravertebral abscess and neurological impairment are important dyscitis complications, especially in tuberculous cases.Conclusion: Spinal infections requiring surgical treatment are still an important clinical condition. Mycobacterium tuberculosis and Staphylococcus aureus represent the main pathogens with a growing incidence for the latest. |
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Surgical Treated Spondylodiscitis Epidemiological StudyPerfil Epidemiológico da Espondilodiscite Tratada CirurgicamenteDiscitis/surgeryDiscitis/epidemiologyOrthopedic Procedures.Discite/cirurgiaDiscite/epidemiologyProcedimentos Ortópedicos.Introduction: The term spondylodiscitis aims to describe any spinal infection. Medical treatment is the gold standard; nevertheless, surgical treatment can be indicated. The aim of this work was to study the epidemiological profile in a group of patients with spondylodiscitis surgically treated in the same medical institution between 1997 and 2013. Material and Methods: Eighty five patients with spondylodiscitis were surgically treated in this period. The authors analysed clinical data and image studies for each patient.Results: We treated 51 male and 34 female patients with an average age of 48 years old (min: 6 - max: 80). The lumbar spine was more often affected and Mycobacterium tuberculosis the most frequent pathogen. The number of cases through the years has been grossly stable, with a slight increase of dyscitis due to Staphylococcus aureus and decrease of the dyscitis without pathogen identification. Paravertebral abscess was identified in 39 patients and 17 had also neurological impairment, mostly located in the thoracic spine and with tuberculous aetheology. Immunosuppression was documented in 10 patients. Discussion: In this epidemiologic study we found a tuberculous infection, male gender and young age predominance. Despite a relative constant number of patients operated over the years, pyogenic infections due to Staphylococcus aureus seems to be uprising. Paravertebral abscess and neurological impairment are important dyscitis complications, especially in tuberculous cases.Conclusion: Spinal infections requiring surgical treatment are still an important clinical condition. Mycobacterium tuberculosis and Staphylococcus aureus represent the main pathogens with a growing incidence for the latest.Introdução: O termo espondilodiscite descreve uma qualquer infeção da coluna vertebral, sendo o tratamento gold standard baseado na terapêutica médica e a indicação cirúrgica ponderada em casos particulares. Foi objetivo deste trabalho estudar o perfil epide-miológico de um grupo de doentes com espondilodiscite submetidos a tratamento cirúrgico numa mesma instituição nacional entre 1997 e 2013.Material e Métodos: Análise epidemiológica de 85 doentes com diagnóstico de espondilodiscite submetidos a tratamento cirúrgico. Foram analisados os processos clínicos, estudos de imagem e registos informáticos.Resultados: Foram tratados 51 doentes do género masculino e 34 do género feminino. A idade média foi de 48 anos (min: 6 - máx: 80). O segmento lombar foi o mais afetado e o Mycobacterium tuberculosis o agente etiológico mais frequente. A distribuição do número de casos ao longo dos anos manteve-se aproximadamente constante, com discreto aumento da incidência do Staphylococus aureus e diminuição do número de casos sem agente identificado. Trinta e nove doentes apresentavam abcesso paravertebral e 17 lesão neurológica concomitante, a maioria no segmento torácico e em relação com infeção tuberculosa. Dez doentes apresentavam imunodepressão importante.Discussão: Nesta série verificou-se um predomínio da infeção tuberculosa, no género masculino e em indivíduos jovens. Enquanto o número de casos/ano das discites tuberculosas se mantém constante, as infeções a Staphylococus aureus parecem ganhar preponderância. O abcesso paravertebral e a lesão neurológica constituíram uma complicação frequente da infeção tuberculosa. Conclusão: As infeções da coluna vertebral com necessidade cirúrgica persistem como patologia relevante. Mycobacterium tuberculosis e Staphylococcus aureus representam os principais agentes etiológicos, parecendo existir uma incidência crescente deste último agente.Ordem dos Médicos2016-05-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfimage/jpegimage/jpegimage/jpegimage/jpegimage/jpegimage/jpegapplication/mswordapplication/mswordapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549oai:ojs.www.actamedicaportuguesa.com:article/6549Acta Médica Portuguesa; Vol. 29 No. 5 (2016): May; 319-325Acta Médica Portuguesa; Vol. 29 N.º 5 (2016): Maio; 319-3251646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/4684https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/4907https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/7646https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/7647https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/7648https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/7649https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/7650https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/7651https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/7652https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/7890https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/7906Direitos de Autor (c) 2016 Acta Médica Portuguesa - Ordem dos Médicosinfo:eu-repo/semantics/openAccessSoares do Brito, JoaquimTirado, AntónioFernandes, Pedro2022-12-20T11:04:54Zoai:ojs.www.actamedicaportuguesa.com:article/6549Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:19.834270Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Surgical Treated Spondylodiscitis Epidemiological Study Perfil Epidemiológico da Espondilodiscite Tratada Cirurgicamente |
title |
Surgical Treated Spondylodiscitis Epidemiological Study |
spellingShingle |
Surgical Treated Spondylodiscitis Epidemiological Study Soares do Brito, Joaquim Discitis/surgery Discitis/epidemiology Orthopedic Procedures. Discite/cirurgia Discite/epidemiology Procedimentos Ortópedicos. |
title_short |
Surgical Treated Spondylodiscitis Epidemiological Study |
title_full |
Surgical Treated Spondylodiscitis Epidemiological Study |
title_fullStr |
Surgical Treated Spondylodiscitis Epidemiological Study |
title_full_unstemmed |
Surgical Treated Spondylodiscitis Epidemiological Study |
title_sort |
Surgical Treated Spondylodiscitis Epidemiological Study |
author |
Soares do Brito, Joaquim |
author_facet |
Soares do Brito, Joaquim Tirado, António Fernandes, Pedro |
author_role |
author |
author2 |
Tirado, António Fernandes, Pedro |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Soares do Brito, Joaquim Tirado, António Fernandes, Pedro |
dc.subject.por.fl_str_mv |
Discitis/surgery Discitis/epidemiology Orthopedic Procedures. Discite/cirurgia Discite/epidemiology Procedimentos Ortópedicos. |
topic |
Discitis/surgery Discitis/epidemiology Orthopedic Procedures. Discite/cirurgia Discite/epidemiology Procedimentos Ortópedicos. |
description |
Introduction: The term spondylodiscitis aims to describe any spinal infection. Medical treatment is the gold standard; nevertheless, surgical treatment can be indicated. The aim of this work was to study the epidemiological profile in a group of patients with spondylodiscitis surgically treated in the same medical institution between 1997 and 2013. Material and Methods: Eighty five patients with spondylodiscitis were surgically treated in this period. The authors analysed clinical data and image studies for each patient.Results: We treated 51 male and 34 female patients with an average age of 48 years old (min: 6 - max: 80). The lumbar spine was more often affected and Mycobacterium tuberculosis the most frequent pathogen. The number of cases through the years has been grossly stable, with a slight increase of dyscitis due to Staphylococcus aureus and decrease of the dyscitis without pathogen identification. Paravertebral abscess was identified in 39 patients and 17 had also neurological impairment, mostly located in the thoracic spine and with tuberculous aetheology. Immunosuppression was documented in 10 patients. Discussion: In this epidemiologic study we found a tuberculous infection, male gender and young age predominance. Despite a relative constant number of patients operated over the years, pyogenic infections due to Staphylococcus aureus seems to be uprising. Paravertebral abscess and neurological impairment are important dyscitis complications, especially in tuberculous cases.Conclusion: Spinal infections requiring surgical treatment are still an important clinical condition. Mycobacterium tuberculosis and Staphylococcus aureus represent the main pathogens with a growing incidence for the latest. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-05-31 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549 oai:ojs.www.actamedicaportuguesa.com:article/6549 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549 |
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oai:ojs.www.actamedicaportuguesa.com:article/6549 |
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por eng |
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por eng |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/4684 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/4907 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/7646 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/7647 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/7648 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/7649 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/7650 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/7651 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/7652 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/7890 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6549/7906 |
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Direitos de Autor (c) 2016 Acta Médica Portuguesa - Ordem dos Médicos info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2016 Acta Médica Portuguesa - Ordem dos Médicos |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 29 No. 5 (2016): May; 319-325 Acta Médica Portuguesa; Vol. 29 N.º 5 (2016): Maio; 319-325 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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