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71. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
9. Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

21.06. - 24.06.2020

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Surgical treatment of spondylodiscitis in the eldery

Operative Therapie bei Spondylodiszitis des älteren Menschen

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  • presenting/speaker Insa Janssen - Klinikum rechts der Isar München, Abteilung für Neurochirurgie, München, Deutschland; Genfer Universitätsspitäler, Abteilung für Neurochirurgie, Genf, Switzerland
  • Ehab Shiban - Universitätsklinikum Augsburg, Abteilung für Neurochirurgie, Augsburg, Deutschland
  • Jens Gempt - Klinikum rechts der Isar München, Abteilung für Neurochirurgie, München, Deutschland
  • Ann-Kathrin Jörger - Klinikum rechts der Isar München, Abteilung für Neurochirurgie, München, Deutschland
  • Bernhard Meyer - Klinikum rechts der Isar München, Abteilung für Neurochirurgie, München, Deutschland

Deutsche Gesellschaft für Neurochirurgie. 71. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 9. Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie. sine loco [digital], 21.-24.06.2020. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocV261

doi: 10.3205/20dgnc256, urn:nbn:de:0183-20dgnc2568

Published: June 26, 2020

© 2020 Janssen et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objective: Due to ageing society the incidence of pyogenic spondylodiscitis is still rising. Whereas surgical treatment for spodylodiscitis in general is more and more accepted as treatment of choice, there is not much known about the prognosis ofspondylodiscitisin theelderly. Aim of the study was to assess the incidence, clinical course and outcome after surgical treatment of elderly patients.

Methods: We performed a retrospective analysis of our clinical database. All patients suffering from spondylodiscitis between January 2006 and January 2018 were included. We assessed clinical findings, laboratory tests, treatment and outcome comparing patients of an of 70 years or older with patients younger than 70 years.

Results: Inthe defined period 454 patients were operated for pyogenic spondylodiscitis (male n= 289, female n= 165). We identified 213 patients aged 70 years or older (group 1) with a mean age of 76.78 +/- 5.56 years (range 70-94yrs). 241 patients were younger than 70 years (group 2) with a mean age of 58.35 +/- 10.44 years (range 17-69 yrs). Distribution of localization of discitis was similar in both groups. There was also no significant difference between the duration of hospitalization (group 1: 28.9 +/- 19.27 days; group 2: 24.83 days +/- 17.64 days). The majority of patients was cured, respectively 8 patients sustained a recurrence of infection.

Conclusion: Surgical treatment of the elderly population suffering from spondylodiscitis is safe and not associated with a significantly worse outcome compared to the younger patient group.