DOI: 10.36347/sjams.2023.v11i06.023

Pages: 1124-1128

Background: Spondylodiscitisis considered as one of the most disturbing challenges that face neurosurgeons due to variety of management strategies. Any delay in its diagnosis or management may cause serious long-term morbidity or even lead to mortality. But in Bangladesh we have very limited research-based data regarding the surgical outcomes of spondylodiscitis by fixation and debridement. Aim of the study: The aim of this study was to assess the surgical outcomes of spondylodiscitis by fixation and debridement. Methods: This prospective observational study was conducted in Khwaja Yunus Ali Medical College and Hospital, Sirajganj, Bangladesh during the period from November 2020 to November 2022. In total 37 patients with spontaneous Cervical, thoracic, lumbar & Lumbo-sacralspondylodiscitis indicated for surgical intervention were enrolled in this study as study subjects. Proper written consents were taken from all the participants before data collection. All data were processed, analyzed and disseminated by using MS Excel and SPSS version 23 program as per necessity. Results: In this study, the mean ±SD VAS score at 6-month follow-up stage was found as 2.04±0.46 which was found as 3.82±0.79 early post operatively and this change (Decreasing) was statistically significant where the P value was <0.0001. In assessing the final clinical outcome as per MacNab's outcome criteria we observed that, more than one-third of our patients (35%) got ‘Excellent’ and 19% got Good’ results. Besides these, 16% patients got ‘Fair’ and the rest 30% got ‘Poor’ results. Conclusion: Surgical management of spondylodiscitis by fixation and debridement may be considered as an effective and safe method. Prompt recovery excellent pain control and satisfactory success rates are some good features of this procedures.