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Value of Spinal Infection Treatment Evaluation Score, Pola Classification, and Brighton Spondylodiscitis Score from Decision to Surgery in Patients with Spondylodiscitis: A Receiver-Operating Characteristic Curve Analysis.
Rezvani, Majid; Ahmadvand, Ali; Yazdanian, Taravat; Azimi, Parisa; Askariardehjani, Navid.
Afiliación
  • Rezvani M; Department of Neurosurgery, Neuroscience Research Center, Al-Zahra Hospital, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
  • Ahmadvand A; Department of Neurosurgery, Isfahan University of Medical Sciences, Isfahan, Iran.
  • Yazdanian T; School of Medicine, Capital Medical University, Beijing, China.
  • Azimi P; Neuroscience Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Askariardehjani N; Department of Neurosurgery, Isfahan University of Medical Sciences, Isfahan, Iran.
Asian Spine J ; 18(2): 218-226, 2024 Apr.
Article en En | MEDLINE | ID: mdl-38650093
ABSTRACT
STUDY

DESIGN:

This was a retrospective study.

PURPOSE:

This study aimed to assess the value of the Spinal Infection Treatment Evaluation (SITE) score, Brighton Spondylodiscitis Score (BSDS), and Pola classification to predict the need for surgical intervention in patients with spondylodiscitis. OVERVIEW OF LITERATURE Spondylodiscitis is a rare disease, and the prediction of its outcome is crucial in the decision-making process.

METHODS:

All case records were assessed to extract information on the American Spinal Injury Association (ASIA), Visual Analog Scale (VAS), and Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) scores before and after surgery. The SITE score, Pola classification, and BSDS were recorded. The receiver-operating characteristic (ROC) curve analysis and the area under the curve (AUC) were applied to estimate the predictive ability of the scoring systems. Patients' satisfaction with surgery outcomes was evaluated using the VAS, ASIA, JOABPEQ, and Likert scale for quality-of-life evaluation.

RESULTS:

In all 148 patients, case records were reviewed. The mean±standard deviation age of the patients was 54.6±14.7 years. Of these, 112 patients underwent surgery. The AUC scores were 0.86, 0.81, and 0.73 for the SITE score, BSDS, and Pola classification, respectively. In the comparison of the AUC of ROC curves, SITE score vs. BSDS showed a significantly greater AUC, 0.13 (Z =2.1, p =0.037); SITE score vs. Pola classification, 0.05 (Z =0.82, p =0.412); and Pola classification vs. BSDS, 0.08 (Z =1.22, p =0.219). The optimal cutoff score was 8.5 (sensitivity, 80.6%; specificity, 81.2%) for the SITE score and 9.5 (sensitivity, 52.8%; specificity, 83.0%) for the BSDS in the decision to surgery. VAS back pain and JOABPEQ subscales showed a significant difference when compared with preoperative scores. According to ASIA grading, none of the patients experienced neurological deterioration. Overall, patients' satisfaction was observed.

CONCLUSIONS:

The findings suggest that the SITE score is a useful measure and helps clinicians make clinically sound decisions in patients with spondylodiscitis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Asian Spine J Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación:
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Asian Spine J Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: