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Table 1 Baseline characteristics of study patients according to the disco-vertebral biopsies (DVB) results

From: Predictive factors for positive disco-vertebral biopsy culture in pyogenic vertebral osteomyelitis, and impact of fluoroscopic versus scanographic guidance

Patients

Positive DVB

(n = 53)

Negative DVB

(n = 35)

P-value

Age (years), median [IQR]

67.0 [54.0; 80.0]

63.0 [47.5; 76.0]

0.31

Sex ratio (M/F)

2.5

2.9

0.79

Immunosuppression, n (%)

5 (9.4)

4 (11.4)

0.76

Previous spine surgery, n (%)

8 (15.0)

2 (5.7)

0.19

PVO presentation, n (%)

 Acute

25 (47.2)

17 (48.6)

1.0

 Subacute

6 (11.3)

7 (20.0)

0.26

 Chronic

9 (17.0)

4 (11.4)

0.58

Previous antibiotic therapy, n (%)

9 (17.0)

10 (28.6)

0.2

Fever, n (%)

2 (3.8)

1 (2.9)

0.82

Biology, median [IQR]

 WBC count (109/L)

9.5 [7.4; 11.5]

7.6 [6.2; 12.2]

0.44

 CRP level (mg/L)

47.0 [26.0; 120.0]

26.5 [8.5;123.5]

0.42

 ALP (UI/L)

117.0 [90.0; 179.5]

144.0 [100.0; 212.0]

0.24

Biology, n (%)

 WBC > 10 (109/L)

19 (47.5)

10 (35.7)

0.33

 CRP > 50 mg/L

19 (86.4)

12 (42.8)

0.77

 CRP > 100 mg/L

14 (34.1)

8 (28.6)

0.62

 ALP > 118 UI/L

20 (55.6)

18 (64.2)

0.48

Radiology, n (%)

 Epidural abscess

8 (19.5)

5 (16.7)

0.76

 Psoas abscess

7 (17.1)

8 (26.7)

0.33

 Discal abscess

11 (26.2)

8 (26.7)

0.96

 Paravertebral abscess

12 (29.3)

9 (30.0)

0.95

 Vertebral endplates erosions > 50%

16 (37.2)

9 (28.1)

0.41

 Paravertebral infiltration ≥10 mm

22 (52.4)

4 (13.3)

0.0006

Spine Level, n (%)

 Cervical

3 (5.7)

2 (5.7)

1.0

 Thoracic

20 (37.7)

12 (34.3)

0.7

 Lumbar

30 (56.6)

21 (60.0)

0.8

Microbiology, n (%)

 Monomicrobial infection

41 (77.4)

NA

NA

 Coagulase negative staphylococci

15 (28.3)

NA

NA

Staphylococcus aureus

10 (18.9)

NA

NA

Cutibacterium acnes

7 (13.2)

NA

NA

Escherichia coli

3 (5.7)

NA

NA

 Streptococci

4 (7.5)

NA

NA

 Anaerobes

3 (5.7)

NA

NA

Pseudomonas aeruginosa

2 (3.8)

NA

NA

 Enterococci

1 (1.9)

NA

NA

Klebsiella spp.

1 (1.9)

NA

NA

  1. ALP Alkaline phosphatase, CRP C-reactive protein, DVB Disco-vertebral biopsy, IQR Interquartile range, NA Not applicable, NS Not significant, PVO Pyogenic vertebral osteomyelitis, WBC White cell blood