URGENT SPECIALIZED MEDICAL CARE TO PATIENTS WITH NON-SPECIFIC INFECTION OF THE SPINE

Objective. To analyze the effectiveness of surgical, including urgent, treatment of patients with non-specific infection of the spine. Material and Methods . A retrospective analysis of 93 hospitalized patients with non-specific infection of the spine was carried out. Eleven patients underwent the course of conservative therapy, and 82 - surgical treatment, out of them 49 for urgent indications. Clinical and radiographic outcomes were followed from 6 months to 3 years. Results . Forty one patients had neurological disorders of varying severity on admission, complete recovery after treatment was observed in 28 of them, partial - in eight, an absence of changes - in two patients; three patients died within a period of 1 to 7 days after surgery. In all survived patients, the treatment resulted in definitive stabilization of affected segments due to bone block formation which occurred at different times; three patients were reoperated on for postoperative deep surgical site infections, one - for broken rod. Conclusion . The best option of surgery based on lesion localization, infectious process extent and patient’s physical status, as well as an adequate antimicrobial therapy are the predictors of success in the treatment of non-specific infectious spondylitis.