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March 26, 2026Acta Medica (Hradec Kralove Czech Republic)0 citationsOpen Access

Surgical Management of Spondylodiscitis: A Single-Center Retrospective Analysis of 126 Cases

PTPavel TrávníčekLRL. RyskovaTHT. Hosszu

Key Points

  • To analyze the effectiveness of surgical management techniques in treating spondylodiscitis cases.
  • Retrospective review of 126 cases treated at a single center
  • Evaluation of surgical interventions including decompression and instrumentation
  • Assessment of diagnostic yield from blood cultures and tissue samples
  • Most cases effectively managed with decompression without instrumentation
  • Instrumentation deemed safe in cases of radiographic instability during active infection
  • High diagnostic yield achieved from timely blood cultures and tissue samples

Abstract

Early surgical source control with decompression without instrumentation was sufficient in most operated cases. When radiographic or intraoperative instability was present, instrumentation appeared safe despite active infection, provided meticulous debridement and pathogen-directed antibiotics were employed. Blood cultures and tissue samples should be taken timely and repeated if needed, as they both provide high diagnostic yield.

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Cite This Study

Trávníček et al. (2025) studied this question.

synapsesocial.com/papers/69c4cd73fdc3bde448919dcchttps://doi.org/10.14712/18059694.2026.4
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  4. 4Management of spontaneous pyogenic spondylodiscitis: a descriptive cohort study2024
  5. 5When infection becomes architecture: structural predictors of surgical management in spondylodiscitis2026