Table 2.
CNPS (N = 71) | TS (N = 94) | P-value | |
---|---|---|---|
Duration of symptoms | |||
<1 month | 32 (45.1 %) | 25 (26.6 %) | 0.002 |
1–3 months | 32 (45.1 %) | 44 (46.8 %) | |
> 4 months | 7 (9.9 %) | 25 (26.6 %) | |
Neurologic stage | |||
No pain | 0 | 3 (3.2 %) | 0.164 |
Spine pain | 28 (39.4 %) | 52 (55.3 %) | |
Radiating pain | 38 (53.5 %) | 26 (26.6 %) | |
Weakness | 5 (7.0 %) | 13 (13.8 %) | |
Sepsis | 7 (9.9 %) | 15 (16.0 %) | 0.254 |
Initial body temperature over 38 °C | 11 (15.5 %) | 27 (31.8 %) | 0.018 |
WBC (/mm3) (median with IQR) | 8600 (7070–11,100) | 7890 (6098–10,293) | 0.030 |
CRP a (mg/dL) (median with IQR) | 4.3 (2.4–8.1) | 2.8 (1.0–7.2) | 0.018 |
IGRA b | |||
Positive | 8 (27.6 %) | 38 (79.2 %) | <0.001 |
Negative | 19 (65.5 %) | 9 (18.8 %) | |
Psoas abscess | 11 (15.5 %) | 31 (33.0 %) | 0.011 |
Paravertebral abscess | 35 (49.3 %) | 70 (74.5 %) | 0.001 |
Epidural abscess | 39 (54.9 %) | 50 (53.2 %) | 0.824 |
Involved vertebrae | |||
Cervical | 2 (2.8 %) | 3 (3.2 %) | N.A. |
Cervicothoracic | 0 | 6 (6.4 %) | |
Thoracic | 5 (7.0 %) | 25 (26.6 %) | |
Thoracolumbar | 3 (4.2 %) | 9 (9.6 %) | |
Lumbar | 47 (66.2 %) | 43 (45.7 %) | |
Lumbosacral | 14 (19.7 %) | 6 (6.4 %) | |
Sacral | 0 | 1 (1.1 %) | |
Cervical and Lumbar (skipped lesion) | 0 | 1 (1.1 %) | |
Number of vertebrae involved | |||
1–2 | 58 (81.7 %) | 65 (69.1 %) | 0.067 |
3–5 | 13 (18.3 %) | 29 (30.9 %) |
Abbreviations: WBC white blood cell count, IQR interquartile range, CRP C-reactive protein, IGRA Interferon gamma release assay, TS tuberculous spondylitis, CNPS culture negative pyogenic spondylitis, N.A not applicable
aC-Reactive Protein value was missing in 1 case of tuberculous spondylitis
bThe IGRA was performed in 76 patients: 48 with TS and 29 with CNPS. IGRA result was indeterminate in one case of tuberculous spondylitis and two cases of culture negative pyogenic spondylitis