Patterns of Radiological Complications in Patients with Spondylodiscitis: A Retrospective Analysis from a Tertiary Care Hospital
DOI:
https://doi.org/10.36552/pjns.v29i2.1074Keywords:
KEYWORDS: Spondylodiscitis, Discitis, Complications, Vertebral body involvement, Compression fracture, Abscess formationAbstract
Objective: To analyze the demographics and other patterns associated with patients diagnosed with spondylodiscitis.
Methods: In this retrospective observational study, data from 96 patients diagnosed with discitis based on clinical and imaging findings at Lady Reading Hospital, a tertiary care center in Peshawar was reviewed. Data collected included demographic information, clinical presentation, and diagnostic imaging findings. Logistic regression analysis was used to assess risk factors, with results presented as odds ratios (OR) and 95% confidence intervals (CI).
Results: Among the 96 patients (57 males, 39 females; mean age 45.5 years), vertebral body involvement was observed in 56% of cases. Cord compression was noted in 36% of patients, significantly associated with advanced age (OR = 1.05; 95% CI: 1.02-1.08, p < 0.01). Decreased disc height was present in 65% of cases, correlating with higher risks of vertebral body abscesses (65%) and psoas abscesses (52%). The lumbar spine was the most commonly affected region, with multilevel involvement observed predominantly in older adults (p = 0.07).
Conclusion: The study highlights the high prevalence of complications in spondylodiscitis and emphasizes the need for timely diagnosis and intervention. These findings can guide improvements in clinical protocols to enhance patient care in low-resource settings.
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Copyright (c) 2025 Mewat Shah` Mewat Shah, Adnan ahmed Adnan ahmed, Muhammad Sajid, Abdur Raheem, Muhammad Usman khan, NadeemullahThe work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).
