Chronological Analysis of Primary Cervical Spine Infection: A Single-Center Analysis of 59 Patients over Three Decades (1992–2018)

Primary cervical spine infections progress quickly and cause neurological impairment at an early stage. Despite their clinical significance, few studies have investigated primary cervical spine infections, owing to the rarity of the condition. This study analyzed the characteristics of 59 patients t...

Full description

Bibliographic Details
Main Authors: Myung-Jin Sung, Sung-Kyu Kim, Hyoung-Yeon Seo
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/8/2210
_version_ 1797434533493080064
author Myung-Jin Sung
Sung-Kyu Kim
Hyoung-Yeon Seo
author_facet Myung-Jin Sung
Sung-Kyu Kim
Hyoung-Yeon Seo
author_sort Myung-Jin Sung
collection DOAJ
description Primary cervical spine infections progress quickly and cause neurological impairment at an early stage. Despite their clinical significance, few studies have investigated primary cervical spine infections, owing to the rarity of the condition. This study analyzed the characteristics of 59 patients treated for primary cervical spine infections between 1992 and 2018 at our hospital. Clinical and radiological analyses were conducted. Moreover, a comparative analysis was performed, incorporating each patient’s underlying disease, mortality and complications, and treatment results. Comparison between groups based on the chronological period (1992–2000, 2001–2009, and 2010–2018) revealed that the mean age of onset has increased significantly in recent years. The rate of neurological impairment, duration of antibiotic use, and frequency of underlying disease increased significantly with time. No significant differences among groups were observed in the hematological and microbiological analyses. The incidence rate of epidural abscess and multisegmental infection increased significantly in recent years. There was no statistically significant difference in the complication and mortality rates, according to the time period. We think that prompt diagnosis and appropriate treatment are necessary, considering the current trends in primary cervical spine infection.
first_indexed 2024-03-09T10:33:40Z
format Article
id doaj.art-fef15331a5684e0eabd85ffb138b9e86
institution Directory Open Access Journal
issn 2077-0383
language English
last_indexed 2024-03-09T10:33:40Z
publishDate 2022-04-01
publisher MDPI AG
record_format Article
series Journal of Clinical Medicine
spelling doaj.art-fef15331a5684e0eabd85ffb138b9e862023-12-01T21:07:09ZengMDPI AGJournal of Clinical Medicine2077-03832022-04-01118221010.3390/jcm11082210Chronological Analysis of Primary Cervical Spine Infection: A Single-Center Analysis of 59 Patients over Three Decades (1992–2018)Myung-Jin Sung0Sung-Kyu Kim1Hyoung-Yeon Seo2Department of Orthopaedic Surgery, Chonnam National University Hospital, Gwangju 61469, KoreaDepartment of Orthopaedic Surgery, Chonnam National University Hospital, Gwangju 61469, KoreaDepartment of Orthopaedic Surgery, Chonnam National University Hospital, Gwangju 61469, KoreaPrimary cervical spine infections progress quickly and cause neurological impairment at an early stage. Despite their clinical significance, few studies have investigated primary cervical spine infections, owing to the rarity of the condition. This study analyzed the characteristics of 59 patients treated for primary cervical spine infections between 1992 and 2018 at our hospital. Clinical and radiological analyses were conducted. Moreover, a comparative analysis was performed, incorporating each patient’s underlying disease, mortality and complications, and treatment results. Comparison between groups based on the chronological period (1992–2000, 2001–2009, and 2010–2018) revealed that the mean age of onset has increased significantly in recent years. The rate of neurological impairment, duration of antibiotic use, and frequency of underlying disease increased significantly with time. No significant differences among groups were observed in the hematological and microbiological analyses. The incidence rate of epidural abscess and multisegmental infection increased significantly in recent years. There was no statistically significant difference in the complication and mortality rates, according to the time period. We think that prompt diagnosis and appropriate treatment are necessary, considering the current trends in primary cervical spine infection.https://www.mdpi.com/2077-0383/11/8/2210cervical spineprimary infectionchronologicaloutcome
spellingShingle Myung-Jin Sung
Sung-Kyu Kim
Hyoung-Yeon Seo
Chronological Analysis of Primary Cervical Spine Infection: A Single-Center Analysis of 59 Patients over Three Decades (1992–2018)
Journal of Clinical Medicine
cervical spine
primary infection
chronological
outcome
title Chronological Analysis of Primary Cervical Spine Infection: A Single-Center Analysis of 59 Patients over Three Decades (1992–2018)
title_full Chronological Analysis of Primary Cervical Spine Infection: A Single-Center Analysis of 59 Patients over Three Decades (1992–2018)
title_fullStr Chronological Analysis of Primary Cervical Spine Infection: A Single-Center Analysis of 59 Patients over Three Decades (1992–2018)
title_full_unstemmed Chronological Analysis of Primary Cervical Spine Infection: A Single-Center Analysis of 59 Patients over Three Decades (1992–2018)
title_short Chronological Analysis of Primary Cervical Spine Infection: A Single-Center Analysis of 59 Patients over Three Decades (1992–2018)
title_sort chronological analysis of primary cervical spine infection a single center analysis of 59 patients over three decades 1992 2018
topic cervical spine
primary infection
chronological
outcome
url https://www.mdpi.com/2077-0383/11/8/2210
work_keys_str_mv AT myungjinsung chronologicalanalysisofprimarycervicalspineinfectionasinglecenteranalysisof59patientsoverthreedecades19922018
AT sungkyukim chronologicalanalysisofprimarycervicalspineinfectionasinglecenteranalysisof59patientsoverthreedecades19922018
AT hyoungyeonseo chronologicalanalysisofprimarycervicalspineinfectionasinglecenteranalysisof59patientsoverthreedecades19922018