Long-term sequelae in patients with spondylodiscitis: independent predictors
Authors' conclusion
Infectious spondylodiscitis is associated with a high rate of long-term sequelae. Younger age, neurological deficit, elevated ESR, and specific radiological findings, particularly psoas and spinal epidural abscesses, were independent predictors of sequelae.
Study context
- Population
- Patients hospitalised for infectious spondylodiscitis, 2010–2024
- Participants
- 215 patients
- Exposure
- Patients with vs without long-term sequelae
- Sequelaen = 99
- Outcome
- Independent predictors of long-term sequelae
Methodological detailsmultivariate logistic regression
- Multivariate logistic regression
Main finding
As reported in the abstract
Independent predictors of long-term sequelae (multivariate analysis)
- Age, per year increase (aOR)
- 0.97; p < 0.01
- Elevated erythrocyte sedimentation rate (ESR), per mm/h (aOR)
- 1.012; p < 0.01
- Neurological deficit (aOR)
- 2.72; p <0.01
- Psoas abscess (aOR)
- 5.27; p<0.001
- Spinal epidural abscess (aOR)
- 2.40; p < 0.05
Observational data: associations, not effects.
Further findings
Age, years · younger with sequelae
P < 0.05
Long-term sequelae (incidence)
- Long-term sequelae
- 99 patients (46%)
- Persistent back pain
- 34.9%
- Spinal deformity
- 14.9%
- Radicular pain
- 6.5%
- Highest frequency in tuberculous spondylodiscitis (prevalence differed across etiological groups)
- P < 0.05
Original publication
Long-term sequelae in patients with spondylodiscitis: independent predictors. Joint Bone Spine. Published 28 August 2026. doi:10. 1016/ j. jbspin. 2026. 106125
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