586 - Functional outcome of surgically treated tuberculous and brucellar spondylodiscitis.

Objectives: To study functional outcome of surgically treated tuberculous and brucellar spondylodiscitis.

Design: Retrospective study where medical records of patients who presented to the physical therapy and rehabilitation ward or outpatient clinics after spine surgery for spondylodiscitis were retrospectively studied. The study included records from January 2010 to December 2022.

Results: Thirty-two patients were diagnosed with spondylodiscitis for which they underwent surgery. Mean age of diagnosis was 46,8 ± 9.4 years. The sex ratio was 1:1. Cervical spine location was involved in 9,3% of cases, lumbar spine in 43,75% and dorsal spine in 34,3% of the cases. Surgery was indicated in 71.8% of cases for spinal cord decompression and

in 28.1% of the cases for voluminous abcesses. Post-operative complications were reported in 43,75% of the cases. 25% of the patients underwent a second surgery mainly to stabalize the spine. Before surgery, walking was impossible for 68,7 % of the patients and 12 months after surgery only 37,5% of the patients couldn’t walk. Mean Functional independence Measure 12 months after surgery was 97,7/126.

Conclusions: Spinal surgery in tuberculous or brucellar spondylitis are indicated if medical treatment is insufficient and especially in the occurrence of neurological complications. Surgery may be invasive with various complications but sometimes it could be the only option to treat a neurological deficit.