Early clinical effects of percutaneous endoscopic focal cleaning and drainage in the treatment of single level suppurative spondylitis

Abstract Background: Suppurative spondylitis is 4% of all osteomyelitis, including discitis, epidural abscess, and vertebral osteomyelitis. It is generally seen in young adults and elderly persons and specifically persons with weak immune systems. Suppurative Spondylitis patients, after experiencing a failure in the medicinal therapy, choose to undergo surgery. Few patients have deplorable conditions for surgery. Objective: The objective of this study is to find out the effectiveness of the surgery procedure in the patient’s body. Methods:  The most recently published research was collected, and the surgery information and their aftermaths of Percutaneous Endoscopic Discectomy (PED) was summarized. Data was taken from the previously published journal and analyzed and plotted using Excel software. Results and Discussions: Recently, several studies have reported the positive outcomes of endoscopy treatments in the suppurative spondylitis, which allows for the drainage of the epidural abscess without opening the infected area, and this is applicable irrespective of the patient's condition. In article, the findings, and the different kinds of suppurative spondylitis were reviewed using the previously published data and the applicability of the percutaneous spondylitis in the patient’s body and their side effects were examined (paralysis, weakness and epidural abscess formation). Conclusion: After summarising all the effects, we can conclude that endoscopy must be an alternative to surgery for suppurative spondylitis. [Ethiop. J. Health Dev. 2021; 35(3): 244-248] Keywords: Suppurative spondylitis, percutaneous endoscopy, osteomyelitis, conservative treatment