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Journal of Orthopaedics and Traumatology

Official Journal of the Italian Society of Orthopaedics and Traumatology

Table 1 Demography, comorbidities, primary presentation, neurological function and FU outcomes

From: Adjacent segment infection after surgical treatment of spondylodiscitis

Patient

Age (years)/sex

Risk factors, previous operations, co-morbidities and co-infections

ASA score

Main presentation

Duration of symptoms (months)

WBC (/mm3)

ESR (mm/h)

CRP (mg/dL)

Frankel grade (primary)

Frankel grade (ASI)

FU Frankel grade

FU after primary operation (months)

Final outcome (Odom’s criteria)

1

69.4/M

MO, DM, BPH, HT, AA, renal stones, hypothyroidism. ASI: fever, UTI, sepsis

4

Fever

1.5

18.4

94

226.7

E

E

E

59.4

Good

2

68.8/F

DM, HT, PNP, heel ulcers, UTI, TKR

3

Weakness

2 weeks

8.5

65

42.2

C

C

C

45.7

Good

3

40.8/F

MO

1

BP

1

9.8

90

94.8

E

E

E

182

Excellent

4

55.1/M

Alcoholism, paraplegia sub-L2

2

Weakness

5

12.3

68

139.1

C

C

C

67.3

Fair

5

50.6/M

DM, HT

3

Paraplegia

1.5

7.8

93

103.1

B

B

B

13.1

Died MOF, septic shock (40 days)

6

70.8/F

HT, breast cancer, OP, IHD

4

BP

5

9.7

84

229.7

E

C

 B

16.5

Died MOF, pneumonia, septicemia (16 days)

7

75.6/F

Poliomyelitis, Parkinsonism, MO, HT, DM, IHD, hypothyroidism

4

BP

5

9.1

17

5

C

C

C

32.7

Good

8

77.8/F

Sigmoid colon cancer, depression, hypothyroidism, MO, OP, HT, UTI

4

BP

1.5

4.8

48

45.9

E

E

E

30.3

Died GIT bleeding

9

81.1/M

PLS, re-infection

1

BP

1

10.8

100

172

E

E

E

93.8

Excellent

10

56/F

Alcoholism, alcoholic liver cirrhosis, chronic anaemia

3

BP

1 week

10.3

48

67.4

E

E

E

4.8

Good

11

47.6/M

HT

2

Weakness

1 day

2.6

91

45.9

D

C

C

73.2

Died MOF, sepsis MRSA (29 days)

12

75.9/F

DM, IHD, OP

3

BP

3 weeks

10

110

267

E

E

E

95.8

Excellent

13

69.8/F

Septicaemia, shoulder infection, fever

4

BP

2.5

20.9

135

155.8

E

E

 E

38

Excellent

14

57.7/F

Hypothyroidism, hip abscess

2

Paraparesis

2 weeks

10.5

66

7.9

C

E

E

130.5

Excellent

15

73/M

HT

2

BP

3.5

7.2

70

72.2

E

D

 C

30

Fair

16

65.7/M

Parkinsonism, UTI

2

BP

1

7

4

5

E

E

 C

70.3

Fair

17

73.1/M

Chronic respiratory insufficiency, HT, paraplegia, OP, IHD, hemiparesis, vertebral fracture

4

BP

1

5.8

140

121.8

C

C

 B

10.2

Poor

18

55.7/F

Bronchial asthma, re-infection

2

BP

4

8.1

31

11.2

E

E

 E

87.5

Good

19

69.9/M

DM, HT, cortison, RI, HI. ASI: septicaemia, fever, toe infection

4

Weakness

6 days 

6.5

69

74.8

C

C

D

46.4

Good

20

80.2/F

OP, HT, MVR, UTI, HBV, cholecystectomy

3

BP

1

7.1

104

113

E

D

D

36.2

Good

21

57.7/M

IHD, MO, HT, RI. ASI: septicaemia

3

BP

4

10.9

140

31

E

E

 E

58

Good

22

65.1/F

RA, foot infection, cholecystectomy, cortisone. ASI: septicaemia, UTI

3

BP

6

21.7

88

138

E

D

D

210.3

Died MOF (after long intensive care and multiple wound infetions)

23

59.6/F

DM, RI, HT, bilateral TKR, ovarian cancer operation, chemotherapy

3

BP

1 week

6.3

35

10.1

E

E

 E

156

Fair

  1. M male, F female, ASA American Society of Anaesthesiology (general condition), MO morbid obesity, DM diabetes mellitus, BPH benign prostatic hyperplesia, HT hypertension, AA aortic aneurysm, ASI adjacent segment infection, UTI urinary tract infection, PNP polyneuropathy, TKR total knee replacement, OP osteoporosis, IHD ischaemic heart disease, PLS postlaminectomy syndrome, RI renal insufficiency, RA rheumatoid arthritis, BP back pain, WBC white blood cell count, ESR erythrocyte sedimentation rate, CRP C-reactive protein, FU follow-up, MOF multiorgan failure, MRSA methicillin-resistant Staphylococcus aureus
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