الفهرس 
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Abstract
Spondylodiscitis is an infection of the intervertebral disc and osteomyelitis of the surrounding vertebrae.
Due to its indolent character, and the difficult differential diagnosis, the diagnosis is often delayed. This sometimes causes serious complications.
We can depend on MRI to detect spondylodiscitis in the early stages when conventional imaging methods like plain films and CT are unreliable.
The definite diagnosis could be achievable by taking biopsy of the disc in addition to isolation of the organism.
Spondylodiscitis requires stabilization of the affected spinal segment, antibiotic medication, as well as debridement and decompression of the spinal canal in order to accomplish treatment and subsequently curing spondylodiscitis.
In case a high suspicion of tubercular spondylodiscitis are evident, TB treatment might be commenced. Nevertheless, the disease’s course in those cases is almost not fulminant. Therefore, waiting for the pathogen diagnosis’ results is safe.
It is widely acknowledged that the existence of an epidural abscess is a reason for prompt treatment prior to the neural compression onset. Definitely, a rapid surgical decompression is indicated at the presence of cord or nerve compression.
The three main surgical approaches which can be conducted either in one or two phases, are anterior, posterior and combined types.
The aim of this study is to assess the results of surgical treatment of spondylodiscitis in El-Hadra Univeristy Hospital.
This was a retrospective study conducted on 31 patients diagnosed as spondylodiscitis not responding to conservative measures, who underwent surgical management.;13 females (41.9%) and 18 males (58.1%) with 16.1% mortality rate, 26 patients had follow up from 6 months – 7 years. Their age ranged from six to 77 years old. The incidence of patients who underwent posterior surgery was 67.7% while 32.3% of them underwent combined posterior and anterior surgeries.
Clinical evaluation was done by using The ASIA Impairment scale. We found that there was significant difference between preoperative and postoperative assessment.
We assessed fusion according to BSF criteria of CT after at least 6 months follow up. We found that 22 patients had fusion (84.6%) and four of them had no fusion (15.4%).
In this study, there were three cases of implant failure and underwent to reoperation (11.5%), three cases had another attack of spondylodiscitis (11.5%) and five cases died (16.1%).