الفهرس 
Introduction & Aim of the workOnly 14 pages are availabe for public view
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Abstract
Spondylodiscitis is a rare but serious infection of the intervertebral disc with possibly devastating outcome. The peak incidence is in patients under 20 years of age and between 50 and 70 years of age. The incidence ranges from 0.4- 2.5 per 100,000 per year.
Spondylodiscitis occurs secondary to a variety of causes, most notably bloodstream infections (e.g. Staphylococcus aureus) and after surgery. The most commonly found pathogen responsible for spondylodiscitis is S. aureus,.
Haematogenous spread is the major source of pyogenic spondylodiscitis.
The study was aiming to to compare between conservative management versus fixation in treatment of post operative lumbar spondylodiscitis and prognosis of each one.
Forty cases with post operative lumbar spondylodiscitis admitted to Minia university hospital reviewed retrospectively.
Twenty of them underwent surgical decompression with fixation and the other twenty were treated conservatively.
Informed written consent was obtained prior to participation in the study from all patients.
Complete medical history was taken from all patients. Then assessment of gender condition and neurological status was done. Pre-operative lumbar x-ray and MRI had been done for all patients. Finally complete Lap. Investigation for all patients were needed to determine the surgical fitness for operation.
Systemic antibiotics, rest and bracing are the cornerstone lines of the conservative treatment. But the surgical treatment is indicated in cases not responding to medical treatment, neurological deficit, epidural abscess and progressive segmental kyphotic deformity or mechanical coronal or sagital instability.
Surgical treatment of spinal infections is still a matter of controversy with relative merits and challenging for spinal surgeons . The aim of treatment are : Thorough debridement of infective foci, decompression of neural element, Correction of the deformed spine , posterior fixation by pedicular screws.
Conservative management is a classical and effective and safe method in treatment of post operative lumbar spondylodiscitis in carefully selected patients without any spondylodiscitic complications but Surgical management of post operative lumbar spondylodiscitis provides less rate of complications and better clinical outcome.