26dkou496
10.3205/26dkou496
urn:nbn:de:0183-26dkou4967
Meeting Abstract
The impact of location on de novo spondylodiscitis: Regions matter but are secondary to comorbidities
Gerstmeyer
Gerstmeyer
Julius
J
Klinik für Orthopädie und Unfallchirurgie, St. Josef Hospital, Bochum, Deutschland
Swedish Neuroscience Institute, Seattle, USA
Seattle Science Foundation, Seattle, USA
author
Gorbacheva
Gorbacheva
Anna
A
Seattle Science Foundation, Seattle, USA
author
Pierre
Pierre
Clifford
C
Swedish Neuroscience Institute, Seattle, USA
Seattle Science Foundation, Seattle, USA
author
Hogsett
Hogsett
Cameron
C
Swedish Neuroscience Institute, Seattle, USA
author
Minissale
Minissale
Nicholas
N
Swedish Neuroscience Institute, Seattle, USA
Seattle Science Foundation, Seattle, USA
author
Godolias
Godolias
Periklis
P
Klinik für Orthopädie, Universtitätsmedizin Essen, Essen, Deutschland
author
Schulte
Schulte
Tobias
T
Klinik für Orthopädie und Unfallchirurgie, St. Josef Hospital, Bochum, Deutschland
author
Schildhauer
Schildhauer
Thomas Armin
TA
Chirurgische Poliklinik und Klinik, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil Bochum, Bochum, Deutschland
author
Abdul-Jabbar
Abdul-Jabbar
Amir
A
Swedish Neuroscience Institute, Seattle, USA
Seattle Science Foundation, Seattle, USA
author
Oskouian
Oskouian
Rod
R
Swedish Neuroscience Institute, Seattle, USA
Seattle Science Foundation, Seattle, USA
author
Chapman
Chapman
Jens
J
Swedish Neuroscience Institute, Seattle, USA
Seattle Science Foundation, Seattle, USA
author
German Medical Science GMS Publishing House
Düsseldorf
610
20261020
engl
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung).
M0659
496
Deutsche Gesellschaft für Orthopädie und Unfallchirurgie
Deutsche Gesellschaft für Orthopädie und Orthopädische Chirurgie
Deutsche Gesellschaft für Unfallchirurgie
Berufsverband für Orthopädie und Unfallchirurgie
Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2026)
Poster | Osteologie, Alterstraumatologie und Wirbelsäule
Berlin
20261020
20261023
DKOU26_Abs_2382
TextObjectives and questions: Primary spondylodiscitis (SD) cases surging in incidence globally remain a diagnostic and therapeutic challenge for physicians. The effect of lesion location on outcomes remains unclear. This study aims to assess the 90-day all-cause readmission rate in patients suffering from spondylodiscitis in different regions of the spine, with a secondary objective of comparing in-hospital mortality rates.Material and methods: Utilizing the 2020 Nationwide Readmissions Database (NRD), USA, adult patients (>18 years) were selected by diagnosis with ICD-10 codes for primary spondylodiscitis. Patients were categorized by localization into eight groups, excluding multifocal patients. Comparative analysis and logistic regressions were performed.Results: Among 5,547 patients, lumbar SD was most prevalent, followed by thoracic and lumbo-sacral regions. Cervical SD had the lowest readmission rate (31.3%) and lower odds versus lumbar SD (adjusted OR = 0.73; p = 0.007). Other regions showed no significant differences. In-hospital mortality varied by location. The sacral region, renal failure, and advanced age were the strongest mortality predictors.Discussion and conclusions: While the incidence of spondylodiscitis varies by location on the spine, we found no significant differences in readmission rates across regions. However, there were substantial differences in in-hospital mortality rates. Comorbidities, particularly renal failure and advanced age, appear to outweigh spinal localization as risk factors for mortality and readmission.
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