Surgical Treated Spondylodiscitis Epidemiological Study

Detalhes bibliográficos
Autor(a) principal: Soares do Brito, Joaquim
Data de Publicação: 2016
Outros Autores: Tirado, António, Fernandes, Pedro
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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spelling 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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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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dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 29 No. 5 (2016): May; 319-325
Acta Médica Portuguesa; Vol. 29 N.º 5 (2016): Maio; 319-325
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