Document Detail

Infectious disease of the spine: outcome of rehabilitation.
MedLine Citation:
PMID:  9670388     Owner:  NLM     Status:  MEDLINE    
Infectious disease of the spine is infrequently seen in the rehabilitation setting. We examined retrospectively 26 patients with spinal infections admitted to the rehabilitation centre over a 6-year period to determine the demographic characteristics, clinical features and outcome after rehabilitation. Their ages ranged from 24 to 83 years (mean = 56.4); 65.4% were males. The infection was due to pyogenic bacteria in 14 patients (53.8%) and Mycobacterium tuberculosis in 12 (46.2%). Staphylococcus aureus was the causative agent in 69% of those with pyogenic infections. A history of diabetes mellitus was present in 35.7% of the pyogenic group but in only 8.3% of the tuberculous group. Localised back pain, fever and neurological deficits were the typical clinical manifestations. The most common site of infection was the thoracic region. Surgery was performed on 24 patients and all received prolonged courses of antibiotics. All but three patients completed the rehabilitation programme. The motor score for the lower limbs and the modified Barthel scores for activities of daily living (ADL) and mobility improved significantly (P < 0.05) for both pyogenic and tuberculous groups. The amounts of improvement achieved were not significantly different between the pyogenic and tuberculous groups except for ADL. Age, gender and the presence of diabetes mellitus did not appear to significantly affect the neurological or functional outcome in our study population. The majority of patients (87.5%) were discharged to their own homes.
H L Yen; K H Kong; W Chan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Spinal cord     Volume:  36     ISSN:  1362-4393     ISO Abbreviation:  Spinal Cord     Publication Date:  1998 Jul 
Date Detail:
Created Date:  1998-10-13     Completed Date:  1998-10-13     Revised Date:  2011-06-06    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  507-13     Citation Subset:  IM    
Department of Rehabilitation Medicine, Tan Tock Seng Hospital, Singapore.
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MeSH Terms
Activities of Daily Living*
Aged, 80 and over
Middle Aged
Rehabilitation Centers
Retrospective Studies
Risk Factors
Sex Distribution
Singapore / epidemiology
Spinal Diseases / epidemiology,  microbiology,  rehabilitation*
Streptococcal Infections / epidemiology,  microbiology,  rehabilitation*
Treatment Outcome
Tuberculosis, Osteoarticular / diagnosis,  epidemiology,  rehabilitation*

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