J Korean Orthop Assoc.  2018 Aug;53(4):332-340. 10.4055/jkoa.2018.53.4.332.

Comparison of the Results between Conservative and Operative Treatments for Pyogenic Spondylitis

Affiliations
  • 1Department of Orthopaedic Surgery, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea. kwj9383@hanmail.net

Abstract

PURPOSE
With advancements in antibiotics, the ability to treat pyogenic spondylitis is increasing. This study aimed to compare and analyze the outcomes between conservative and operative treatments.
MATERIALS AND METHODS
Sixty patients (28 males and 32 females) with pyogenic spondylitis, who were hospitalized and treated between February 2008 and June 2016, were enrolled. Patients were divided according to the following: type of treatment – conservative or operative treatment, method of surgery, radiographic parameters, location of the affected spine. Clinical parameters as durations of hospital stay, intravenous antibiotics use, normalization in laboratory findings, and residual symptoms were analyzed. For statistical evaluation, independent-sample t-test, Mann-Whitney U-test, Pearson's chi-square test, one-way ANOVA, and Spearman correlation analysis were performed retrospectively.
RESULTS
There was no significant difference in the duration of hospital stay, intravenous antibiotics use, normalization in laboratory findings, and residual symptoms between the conservative and operative treatment groups.
CONCLUSION
In treating pyogenic spondylitis, conservative treatment can be considered as the first choice, and operative treatment can be chosen in refractory cases.

Keyword

spine; pyogenic spondylitis; conservative treatment; operative treatment
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