Valutazione funzionale del rachide dopo spondilodiscite

Objective. To value the spinal functionality and the Quality of Life in patients with spondylodiscitis results, in comparison with a population affected by chronic low back pain, in order to verify the disability and the therapeutic management. Materials and methods. They considered 13 cases with spondylodiscitis results (SD group, 7M, 8F, medium age 61); 13 patients with chronic low back pain (LBP group, 3M, 10F, medium age 61) and 27 healthy check (C group, 11M 16F, medium age 22). It’s been estimated the spinal mobility and the rachis disability by using Roland Morris Disability Questionnaire in following checks. Results. The estimation of spinal mobility proves more rigidity in each esaminate plan movement in SD group, in comparison with LBP group (p<0.001). C group results more mobile than pathologic groups (p<0.001). In SD group the Roland Morris score improves during a space of time, without showing a complete disability reduction (p<0.01). At first follow up, therapeutic advices was given to 11 patients: at second follow up 8 subjects report to carry out the prescriptions (6 with complete benefits, 2 with partial benefits). Furthermore, in SD group, 8 (72%) report a wellbeing improving and 5 (45%) a walking one, in comparison with the first follow up time. Conclusion. Infectious spondylodiscitis causes a functional limitation in the time and a compromission of the Quality of Life more than in chronic low back pain subjects. The last follow up proves the utility of the physiatrical check, beyonde the orthopedical and the infectivology observation, in order to improve the functional outcome in patients affected by spondylodiscitis results.