IMMEDIATE RESULTS OF TREATMENT FOR PYOGENIC NONSPECIFIC SPINE DESEASE

Abstract

Pyogenic nonspecific spine disease is of special interest to neurosurgeons because it often results in acute neurological deteriorations and requires a combination of adequate surgical and conservative treatment. A group of 81 patients with the clinical and radiological sings of pyogenic nonspecific spine infections was prospectively followed from 1999 to 2004. Time to diagnosis was less than 2 months in 62,96 % of patients. Patients without neurological deficit (n = 8; 9.88 %) were conservatively treated with immobilization and intravenous antibiotic drugs. Patients with complete or rapidly progressing neurological deficit, septicemia (n = 73; 90.12 %) underwent surgery. Good results were achieved in 42 (57,55 %) patients, satisfactory – in 16 (21,91 %) with minor neurologic deficit, unsatisfactory – in 14 (19,17 %) with severe neurological deficit. Severe septicemia and multiorgan failure developed in one patient who died of this disease. Conclusions: еarly diagnosis and surgical treatment is a technique of choice for treatment of patients with pyogenic nonspecific spine diseases.