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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