{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T11:54:58Z","timestamp":1791201298361,"version":"4.2.0"},"reference-count":35,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T00:00:00Z","timestamp":1790985600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Background: Surgical decisions in spondylodiscitis rely on the preoperative magnetic resonance imaging (MRI) report, and postoperative mortality remains high. We examined how often routine MRI reports described an epidural abscess later documented at surgery and explored factors associated with mortality. Methods: Twenty-seven adults operated on for pyogenic or fungal spondylodiscitis at one centre (2017\u20132025) were studied retrospectively. Findings were abstracted from routine MRI reports and operative notes, with epidural pus documented at surgery as the reference. Mortality was explored with univariable Cox and receiver operating characteristic analyses. Results: Epidural pus was documented in 11 patients; none of their MRI reports described an epidural abscess (sensitivity 0%, 95% confidence interval [CI] 0\u201328.5%), although six reported paraspinal soft-tissue involvement. Eleven patients (40.7%) died during a median follow-up of 2.5 months. Age (hazard ratio 1.14 per year, 95% CI 1.00\u20131.30) and the age-adjusted Charlson Comorbidity Index (1.54 per point, 1.05\u20132.28) were associated with mortality and discriminated similarly (areas under the curve 0.741 and 0.736); the unadjusted index and the Pola, Homagk, Spinal Instability Neoplastic Score, and Spinal Instability Spondylodiscitis Score classifications were not. Conclusions: In this small retrospective cohort, routine MRI reports named no epidural abscess among patients in whom one was documented at surgery. Mortality was associated with age and age-adjusted comorbidity burden. These exploratory findings require prospective validation.<\/jats:p>","DOI":"10.3390\/jcm15197665","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T10:57:46Z","timestamp":1791197866000},"page":"7665","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Epidural Abscess in Routine Preoperative MRI Reports Versus Documented Operative Findings, and Exploratory Mortality Risk Factors in Surgically Treated Spondylodiscitis: A Retrospective Single-Centre Study"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4501-9090","authenticated-orcid":false,"given":"Bahad\u0131r","family":"Balkanl\u0131","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, \u015ei\u015fli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, 34396 Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6205-1207","authenticated-orcid":false,"given":"Enver","family":"\u0130pek","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, \u015ei\u015fli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, 34396 Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet Alp","family":"Y\u00fcksel","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, \u015ei\u015fli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, 34396 Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O\u011fuzhan","family":"Nayman","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Esenyurt Necmi Kad\u0131o\u011flu State Hospital, Esenyurt, 34517 Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuf","family":"S\u00fclek","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Esenyurt Necmi Kad\u0131o\u011flu State Hospital, Esenyurt, 34517 Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet Ali","family":"Talma\u00e7","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Ba\u015fak\u015fehir \u00c7am ve Sakura City Hospital, University of Health Sciences, Ba\u015fak\u015fehir, 34480 Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,10,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.jinf.2013.11.011","article-title":"Increasing incidence of pyogenic spondylodiscitis: A 14-year population-based study","volume":"68","author":"Kehrer","year":"2014","journal-title":"J. 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