Lima Diana, Lopes Nuno, Pereira Ana Lúcia, Rodrigues Diogo, Amaral-Silva Marta, Marques Elsa
Physical Medicine and Rehabilitation, Hospital Curry Cabral, Unidade Local de Saúde de São José, Lisbon, PRT.
Cureus. 2024 Nov 21;16(11):e74192. doi: 10.7759/cureus.74192. eCollection 2024 Nov.
Spondylodiscitis is a rare but increasingly infectious disease affecting the intervertebral discs and vertebrae.
This study retrospectively analyzed 36 patients admitted with spondylodiscitis over a five-year period, examining demographics, clinical features, risk factors, causative agents, treatment approaches, and outcomes.
The patient cohort had a mean age of 53.7 years, with a slight male predominance (55.6%, n=20). The most common symptoms were pain corresponding to 83.3% (n=30) followed by fever in 44.4% (n=16), and neurological symptoms were observed in 41.7% (n=15) of cases. The lumbar spine was the most frequently affected region (47.2%, n=17), and abscess formation, particularly involving the psoas muscle, occurred in 37.5% of cases. Notably, was the predominant causative agent representing 50% (n=18) of all cases. All patients received antibiotic treatment, and 47.2% (n=17) required additional surgical intervention. Rehabilitation was initiated during hospitalization for 86.1% (n=31) of patients with six patients transferred to a rehabilitation yard. The overall mortality rate was 11.1% (n=3), primarily due to septic shock.
This study underscores the challenges of diagnosing spondylodiscitis and highlights the importance of a multidisciplinary approach to management, involving early rehabilitation to improve functional outcomes.
脊椎椎间盘炎是一种罕见但感染性日益增加的疾病，影响椎间盘和椎体。
本研究回顾性分析了五年期间收治的36例脊椎椎间盘炎患者，检查了人口统计学、临床特征、危险因素、病原体、治疗方法和结果。
患者队列的平均年龄为53.7岁，男性略占优势（55.6%，n = 20）。最常见的症状是疼痛，占83.3%（n = 30），其次是发热，占44.4%（n = 16），41.7%（n = 15）的病例出现神经症状。腰椎是最常受累的部位（47.2%，n = 17），37.5%的病例出现脓肿形成，尤其是累及腰大肌。值得注意的是， 是主要病原体，占所有病例的50%（n = 18）。所有患者均接受了抗生素治疗，47.2%（n = 17）的患者需要额外的手术干预。86.1%（n = 31）的患者在住院期间开始康复治疗，6名患者被转到康复病房。总死亡率为11.1%（n = 3），主要原因是感染性休克。
本研究强调了诊断脊椎椎间盘炎的挑战，并突出了多学科管理方法的重要性，包括早期康复以改善功能结果。
