nfectious spondylitis accounts for 4 - 8% among suppurative diseases of the musculoskeletal system, and its frequency is estimated at 1.0 - 2.5 cases per 100,000 population. A special form of spondylodiscitis - acute post-manipulation spondylodiscitis - is observed in one of 40-50 patients who underwent discectomy from the posterior approach for a herniated disc, which, given that this operation is the most frequent in neurosurgery, allows one to assess the total volume of the problem. Purpose of the study. To study the results of the use of emergency osteoperforation in acute postoperative spondylodicitis. We studied the data of 40 patients, 15 women and 13 men, aged from 30 to 63 years, who underwent discectomy from the posterior approach, who developed postoperative spondylodicitis within 3 months after the operation. The main group consisted of 28 patients with acute spondylocystitis, who underwent our developed method of treating spondylodiscitis. The comparison group included 12 patients who underwent conservative therapy. The subject of the study was the features of the clinical and radiation picture of the disease, laboratory parameters, as well as the assessment of the effectiveness of the proposed treatment method. The early signs of the effectiveness of treatment were considered the dynamics (relief) of pain syndrome, decreased sweating, improved general condition, increased appetite, as well as the dynamics of manifestations of inflammatory changes (“edema”) assessed by MRI. Thus, emergency osteoperforation of the vertebra and disc in combination with antibiotic therapy can reduce the edema of the bone vertebra, reduce intraosseous pressure, which in most cases provides good (67.8%) and satisfactory (14.2%) clinical results in acute spondylodiscitis. developed after removal of a herniated disc.