Background Residual pain after Infectious spondylodiscitis can result in a major handicap in social and professional life. The aim of the present work was to describe predictive factors of Residual pain after Infectious Spondylodiscitis according to the experience of an internal medicine department in Tunisia.
Methods Patients with SDI either confirmed or presumed and hospitalized in the internal medicine department of The Principle Military Hospital Of Tunis, Tunisia have been included in the Study. Factors correlated with later pain are gathered in this study.
Results See Table 1.
Fourty-four patients met the inclusion criteria. They have been gathered over 20 years-period. They were 24 men and 20 women with an average age at 52.5 years. The diagnosis was a Tuberculous Spondylodiscitis in 22 cases (50%): among them 10 patients had a concomitant extra spinal TB. The diagnostic delay was 231 days for TB SDI and 40.5 days for SDP.
Treatment duration was 13 months for SDT and 18 weeks for SDP. The outcome was favorabl Regular monitoring was observed in 38 patients (17 SDP, SDT 21) with an average duration of 20 months (5–48 months).
Conclusions Neurological signs at first examination and MRI are main factors of residual pain in SDI.
Disclosure of Interest None declared
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