Surgical treatment of spinal brucellosis

Clinical Orthopaedics and Related Research
Pavlos KatonisAlexander Hadjipavlou

Abstract

We retrospectively reviewed 10 patients with spinal brucellosis of the thoracic and lumbar spine who were treated successfully with a combination of surgery and antibiotics. All patients had back pain; six patients had radiculopathy and one patient had paraparesis. Patients with spondylodiscitis without epidural abscesses (n = 3) had transpedicle discectomy and drainage. Epidural abscesses in the lumbar area caused by spondylodiscitis (n = 3), spondylitis (n = 2), and discitis with infected disc herniation (n = 1), were drained using a posterior approach combined with posterolateral fusion in two patients with spondylodiscitis and discectomy in the patient with a herniated disc. One patient presented with a pathologic fracture and neural compression and was treated with anterior corpectomy and reconstruction. Antibiotic treatment was given for 3 to 9 months. Mean followup was 3 years. Back pain improved soon after surgery. Recovery from radiculopathy and paraparesis was complete. One patient had recurrence of infection 9 months after initial treatment. Clinical manifestation of spinal brucellosis can include spondylitis, spondylodiscitis, discitis, epidural abscess, paraspinal abscess, and vertebral collapse. Transpedicle drain...Continue Reading

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Citations

Mar 21, 2009·Tropical Doctor·Nasser Janmohammadi, Mohammad Reza Hasanjani Roushan
Jun 6, 2008·Current Opinion in Rheumatology·Irene S KourbetiDimitrios T Boumpas
Dec 20, 2008·Journal of Korean Neurosurgical Society·Dae-Hyun Kim, Young-Dae Cho
Jul 10, 2020·British Journal of Neurosurgery·Majid Reza Farrokhi, Seyed Reza Mousavi
Jul 31, 2012·Rheumatology International·Figen KaptanNejat Ali Coskun

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