الفهرس 
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Abstract
Spondylodiscitis is a rare disease, comprising from 2 to 7% of the cases of bacterial osteomyelitis. The incidence has been increasing and one of the hypotheses pertains to the aging population with chronic and debilitating illnesses from the use of new immunosuppressive therapies, an increase in the use of internal devices, and a growing number of spine surgeries.
A delay in diagnosis results in worse outcomes. Many times, this delay is due to the non-specific presentation of the symptoms, such as dorsalgia without fever, initially subtle and vague, thus being a diagnostic challenge. Most of the time, the clinical findings together with the imaging examinations arrive at a diagnosis before laboratory confirmation.
The aim of this thesis is to compare the clinical, radiological, and functional outcome of anterior versus posterior approach for surgical treatment of spondylodiscitis.
This study was conducted on thirteen patients with dorsolumber spondylodiscitis who were admitted and managed operatively. Patients were divided into two groups. group (A): 15 patients (50%) were operated via anterior approach and group (B): 15 patients (50%) were operated via posterior approach.
The diagnosis was established on basis of clinical presentation as well as laboratory and radiological investigations with follow up period of 12 weeks.
Our results show the mean age of patients of group A was 52 ±8 and group B was 52 ±7. The most frequent site in group A was lumbar (46.7%), followed by thoracolumbar (40%) and thoracic (3.3%), while in group