{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:36:34Z","timestamp":1761824194779},"reference-count":0,"publisher":"Scientific Scholar","issue":"03","license":[{"start":{"date-parts":[[2019,10,7]],"date-time":"2019-10-07T00:00:00Z","timestamp":1570406400000},"content-version":"vor","delay-in-days":98,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Neurosciences in Rural Practice"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003 Postoperative discitis (POD) remains a dreaded complication in the present era of asepsis. The treatment has been traditionally conservative, but the safety of spinal implants in infective settings has prompted the surgeons to provide rigid immobilization for promoting healing. A major concern in a country like ours is huge patient inflow and long waiting list added to the woe of patient's refusal for a second operative intervention after a first undesirable outcome.<\/jats:p><jats:p>\n          Objectives\u2003The aim of the study was to evaluate the functional and radiological outcome of conservative management of POD and determine the methods of prevention.<\/jats:p><jats:p>\n          Settings and Design\u2003 A retrospective case study series in a tertiary-level hospital.<\/jats:p><jats:p>\n          Materials and Methods\u2003 Between January 2015 and 2017, 12 cases of POD (10 own and 2 referred) were managed and followed up clinically, radiologically, and with laboratory investigation. Two cases were managed surgically\u2014one with kyphotic deformity and the other with discharging pus. Rest were managed conservatively with analgesics and intravenously followed by oral antibiotics. At 1-year follow-up, patient satisfaction was evaluated using the MacNab outcome assessment.<\/jats:p><jats:p>\n          Statistical Analysis\u2003 The descriptive data were analyzed mainly by descriptive statistics using mean, median, standard deviation, and interquartile range.<\/jats:p><jats:p>\n          Results\u2003 Mean follow-up in our series was 15.2 months. Except for two operated cases, we did not go for the invasive procedure for isolation of organism in any of our cases. The total duration of antibiotic in our series was for the mean of 7.3 weeks. Visual analog scale score returned from8 initially to baseline and at final follow-up\u20144 excellent, 6 good, and 2 had fair outcome. There was no adverse outcome.<\/jats:p><jats:p>\n          Conclusions\u2003 The majority of POD can be managed conservatively. Surgery is reserved only for special cases. Magnetic resonance imaging is the investigation of choice for diagnosing discitis. Intraoperative use of gentamicin-mixed normal saline wash reduces the incidence of discitis.<\/jats:p>","DOI":"10.1055\/s-0039-1697887","type":"journal-article","created":{"date-parts":[[2019,10,7]],"date-time":"2019-10-07T22:56:29Z","timestamp":1570488989000},"page":"511-518","source":"Crossref","is-referenced-by-count":5,"title":["Postoperative Lumbar Pyogenic Spondylodiscitis: An Institutional Review"],"prefix":"10.25259","volume":"10","author":[{"given":"Mantu","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rabi Narayan","family":"Sahu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amrit","family":"Gantaguru","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sudhanshu Sekhar","family":"Das","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sujit Kumar","family":"Tripathy","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashish","family":"Pattnaik","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2019,10,7]]},"container-title":["Journal of Neurosciences in Rural Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0039-1697887.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,5]],"date-time":"2023-08-05T04:39:02Z","timestamp":1691210342000},"score":1,"resource":{"primary":{"URL":"https:\/\/ruralneuropractice.com\/postoperative-lumbar-pyogenic-spondylodiscitis-an-institutional-review\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":0,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2019,10,7]]},"published-print":{"date-parts":[[2019,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0039-1697887","relation":{},"ISSN":["0976-3147","0976-3155"],"issn-type":[{"value":"0976-3147","type":"print"},{"value":"0976-3155","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7]]}}}