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Recent trends in spinal infections: retrospective analysis of patients treated during the past 50 years

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Abstract

We retrospectively reviewed the medical charts of 210 consecutive patients treated for spinal infection in Tottori University Hospital in Japan between 1956 and 2005. Until 1995, spinal infection was under control in this series; however, during the last decade, it has been on the rise. Male predominance had been gradually progressing, and 69% of the patients were male during the last decade. Patients with spinal infection were aging, and the ratio of immunocompromised hosts dramatically increased to 53%. Until 1995, the percentage of patients with tuberculous spondylitis had been declining; however, the incidence has been on the rise during the last ten years. The organism was detected in 64% of patients treated between 1996 and 2005, of which Staphylococcus aureus was detected in 49%. Moreover, methicillin-resistant S. aureus was detected in 61% of patients with S. aureus. There were no immigrants or cases with human immunodeficiency virus in this series.

Résumé

Nous avons examiné de façon rétrospective le dossier de 210 patients consécutifs traités pour une infection vertébrale à l’hôpital universitaire de Tottori au Japon, entre 1956 et 2005. En 1995, les infections rachidiennes dans cette série étaient surveillées, cependant, durant la dernière décade, celles-ci ont augmenté, avec une prédominance du sexe masculin et ce de façon progressive (69% des patients durant ces 10 dernières années). Les patients présentant une infection rachidienne étaient des patients âgés avec diminution des défenses immunitaires. Jusqu’en 1995, le pourcentage des patients présentant une spondylite tuberculeuse a diminué cependant que leur incidence a été en hausse durant ces 10 dernières années. Les micro organismes détectés chez 64% des patients traités entre 1996 et 2005 étaient des Staphylocoques dorés dans 49% des cas. De plus, les staphylocoques methiiR étaient détectés chez 61% des patients présentant une infection à staphylocoques dorés. Il n’y avait, dans cette série aucun immigrant ni aucun cas de patients atteints par le VIH.

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Acknowledgement

This work was presented in part at the 36th annual meeting of the Japanese Society for Spine Surgery and Related Research, Kanazawa, Japan, 26–27 April 2007, and EuroSpine 2007, Brussels, Belgium, 3–6 October 2007. No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Faculty of Medicine, Tottori University, 36-1 Nishimachi, Yonago, Tottori, 683-8504, Japan

    Hideki Nagashima, Yoshiro Nanjo & Ryota Teshima

  2. Department of Orthopedic Surgery, Tottori Red Cross Hospital, Tottori, Japan

    Koji Yamane

  3. Department of Orthopaedic Surgery, Yoshida Orthopaedic Hospital, Toyota, Japan

    Takako Nishi

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  1. Hideki Nagashima
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  2. Koji Yamane
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  3. Takako Nishi
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  4. Yoshiro Nanjo
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  5. Ryota Teshima
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Correspondence to Hideki Nagashima.

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Nagashima, H., Yamane, K., Nishi, T. et al. Recent trends in spinal infections: retrospective analysis of patients treated during the past 50 years. International Orthopaedics (SICOT) 34, 395–399 (2010). https://doi.org/10.1007/s00264-009-0741-1

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  • DOI: https://doi.org/10.1007/s00264-009-0741-1

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