What is pyogenic spondylodiscitis?
Pyogenic spondylodiscitis is defined as a serious infection of the intervertebral disc(s) and/or adjacent vertebrae, and for the purpose of this article incorporates both vertebral osteomyelitis and spondylodiscitis [1].
What causes spondylodiscitis?
Spondylodiscitis is usually a monobacterial infection and more than 50% of cases in Europe are caused by Staphylococcus aureus, followed by gram-negative pathogens such as Escherichia coli (11%–25%) (1, e2, e3). The most common pathogen worldwide is Mycobacterium tuberculosis.
How is spondylodiscitis treated?
The essential elements for successful treatment leading to cure of spondylodiscitis are the fixation of the affected section of the spinal column, antibiotic therapy, and (depending on the severity of the condition) debridement and decompression of the spinal canal.
Does discitis show on MRI?
Though blood tests may be considered during diagnosis, the most accurate and commonly used diagnostic tool to confirm discitis is magnetic resonance imaging (MRI), which will show an infection if it exists.
What is tuberculous spondylodiscitis?
Tuberculous spondylitis, also known as Pott disease, refers to vertebral body osteomyelitis and intervertebral discitis from tuberculosis (TB). The spine is the most frequent location of musculoskeletal tuberculosis, and commonly related symptoms are back pain and lower limb weakness/paraplegia.
What is infectious spondylodiscitis?
Infectious spondylodiscitis is an infection of the intervertebral disc and the adjacent vertebral bodies due to the introduction of a pyogen, usually by the haematogenous route.
What are the symptoms of spondylodiscitis?
Symptoms: Fever, Back Pain, Spinal Cord or Nerve Compression
- Fever. Like many other slowly progressive infections, fever is poorly sensitive for spondylodiscitis.
- Back Pain.
- Spinal cord or Nerve Compression.
What is difference between spondylitis and spondylodiscitis?
Spondylitis is an inflammation of the vertebral body. If the infection is manifested in the vertebral motor segment it is called spondylodiscitis, which can be divided into specific and nonspecific forms.
What kind of MRI is used for discitis?
Diffusion-weighted MRI has been advocated as a method of distinguishing discitis from degenerative endplate changes.
What are the symptoms of discitis?
What are the symptoms of discitis?
- changes in your posture.
- stiffness in your back.
- difficulty performing regular mobility tasks.
- abdominal pain or discomfort.
- fever.
What is Potts spine?
Pott’s spine, tuberculous spondylitis, spinal tuberculosis. Pott disease is tuberculosis of the spine, usually due to haematogenous spread from other sites, often the lungs. The lower thoracic and upper lumbar vertebrae areas of the spine are most often affected.
How is spondylodiscitis diagnosed?
Radionuclide Imaging Bone scans are one of the most sensitive tests in detecting patients with spondylodiscitis. Multiple reports cite sensitivity of 90–95%.