Prognostic Factors for Failure of Antibiotic Treatment in Patients With Osteomyelitis of the Spine.

Study Design: Retrospective cohort study.

Objective: The aim of this study was to identify factors independently associated with antibiotic treatment failure in patients with spinal osteomyelitis.

Summary Of Background Data: There are few studies that have identified risk factors for antibiotic treatment failure in medically managed spinal osteomyelitis.

Among Musculoskeletal Surgeons, Job Dissatisfaction Is Associated With Burnout.

Background: Burnout is common in professions such as medicine in which employees have frequent and often stressful interpersonal interactions where empathy and emotional control are important. Burnout can lead to decreased effectiveness at work, negative health outcomes, and less job satisfaction. A relationship between burnout and job satisfaction is established for several types of physicians but is less studied among surgeons who treat musculoskeletal conditions.

How Does the Level of Nerve Root Resection in En Bloc Sacrectomy Influence Patient-Reported Outcomes?

Background: For patients with sacral tumors, who are well enough for surgery, en bloc resection is the preferred treatment. Survival, postoperative complications, and recurrent rates have been described, but patient-reported outcomes often are not included in these studies.

Questions/purposes: The purposes of this study were (1) to compare patient-reported outcomes after en bloc sacrectomy, based on the level of sacral nerve root resection, in terms of mental health, physical health, bowel function, and sexual function; and (2) to assess differences in terms of mental health, physical health, and pain between patients with and without a colostomy.