DIAGNOSIS AND TREATMENT SPONDYLODISCITIS: THE LITERATURE REVIEW

Authors

  • Dhanang Susilo Faculty of Medicine, Sultan Agung Islamic University, Indonesia Author

DOI:

https://doi.org/10.53555/nnmhs.v9i8.1796

Keywords:

Infection, Pyogenic, Spondylodiscitis, Vertebral

Abstract

In many regions of the globe, pyogenic spondylitis remains a significant concern. It is a disorder that affects a very small proportion of the population, but it can be quite severe and even fatal. Frequently, it is difficult to make a diagnosis due to the absence of evident signs or symptoms. It encompasses a vast array of clinical entities, including pyogenic spondylodiscitis, discitis, vertebral osteomyelitis, and spinal osteomyelitis, among others. The success rates of conservative treatment are comparable to those of surgical treatment, but complications and mortality rates are lower. In the absence of a clear indication for surgical intervention, conservative treatment should be considered first. Patients with cervical tract or tuberculous spondylodiscitis should endure closer diagnostic and clinical monitoring due to the increased risk of developing bone collapse and neurological deficits.

References

Doutchi M, Seng P, Menard A, Meddeb L, Adetchessi T, Fuentes S, et al. Changing trends in the epidemiology of vertebral osteomyelitis in Marseille, France. New microbes new Infect. 2015 Sep;7:1–7.

Sobottke R, Seifert H, Fätkenheuer G, Schmidt M, Gossmann A, Eysel P. Current diagnosis and treatment of spondylodiscitis. Dtsch Arztebl Int. 2008 Mar;105(10):181–7.

Cheung WY, Luk KDK. Pyogenic spondylitis. Int Orthop. 2012 Feb;36(2):397–404.

Gupta A, Kowalski TJ, Osmon DR, Enzler M, Steckelberg JM, Huddleston PM, et al. Long-term outcome of pyogenic vertebral osteomyelitis: a cohort study of 260 patients. Open forum Infect Dis. 2014 Dec;1(3):ofu107.

Jean M, Irisson J-O, Gras G, Bouchand F, Simo D, Duran C, et al. Diagnostic delay of pyogenic vertebral osteomyelitis and its associated factors. Scand J Rheumatol. 2017 Jan;46(1):64–8.

Spira D, Germann T, Lehner B, Hemmer S, Akbar M, Jesser J, et al. CT-Guided Biopsy in Suspected Spondylodiscitis--The Association of Paravertebral Inflammation with Microbial Pathogen Detection. PLoS One. 2016;11(1):e0146399.

Herren C, Jung N, Pishnamaz M, Breuninger M, Siewe J, Sobottke R. Spondylodiscitis: Diagnosis and Treatment Options. Dtsch Arztebl Int. 2017 Dec;114(51–52):875–82.

Sobottke R, Röllinghoff M, Zarghooni K, Zarghooni K, Schlüter-Brust K, Delank K-S, et al. Spondylodiscitis in the elderly patient: clinical mid-term results and quality of life. Arch Orthop Trauma Surg. 2010 Sep;130(9):1083–91.

Sehn JK, Gilula LA. Percutaneous needle biopsy in diagnosis and identification of causative organisms in cases of suspected vertebral osteomyelitis. Eur J Radiol. 2012 May;81(5):940–6.

Foreman SC, Schwaiger BJ, Gempt J, Jungmann PM, Kehl V, Delbridge C, et al. MR and CT Imaging to Optimize CT-Guided Biopsies in Suspected Spondylodiscitis. World Neurosurg. 2017 Mar;99:726-734.e7.

Mavrogenis AF, Megaloikonomos PD, Igoumenou VG, Panagopoulos GN, Giannitsioti E, Papadopoulos A, et al. Spondylodiscitis revisited. EFORT open Rev. 2017;2(11):447–61.

Ryang Y-M, Akbar M. [Pyogenic spondylodiscitis: symptoms, diagnostics and therapeutic strategies] Orthopade. 2020 Aug;49(8):691–701.

Gentile L, Benazzo F, De Rosa F, Boriani S, Dallagiacoma G, Franceschetti G, et al. A systematic review:

characteristics, complications and treatment of spondylodiscitis. Eur Rev Med Pharmacol Sci. 2019 Apr;23(2 Suppl):117–28.

Sato K, Yamada K, Yokosuka K, Yoshida T, Goto M, Matsubara T, et al. Pyogenic Spondylitis: Clinical Features, Diagnosis and Treatment. Kurume Med J. 2019 Sep;65(3):83–9.

Abulizi Y, Cai X, Xu T, Xun C, Sheng W, Gao L, et al. Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis. J Vis Exp. 2021 May;(171).

Fransen BL, De Visser E, Lenting A, Rodenburg G, Van Zwet AA, Gisolf EH. Recommendations for diagnosis and treatment of spondylodiscitis. Neth J Med. 2014;72(3):135–8.

Almansour H, Pepke W, Akbar M. Pyogenic spondylodiscitis: The quest towards a clinical-radiological classification. Orthopade. 2020;49(6).

Prodromou ML, Ziakas PD, Poulou LS, Karsaliakos P, Thanos L, Mylonakis E. FDG PET is a robust tool for the diagnosis of spondylodiscitis: a meta-analysis of diagnostic data. Clin Nucl Med. 2014;39(4):330–5.

Zarghooni K, Röllinghoff M, Sobottke R, Eysel P. Treatment of spondylodiscitis. Int Orthop. 2012;36:405–11.

Rutges J, Kempen DH, Van Dijk M, Oner FC. Outcome of conservative and surgical treatment of pyogenic spondylodiscitis: a systematic literature review. Eur Spine J. 2016;25:983–99.

Včelák J, Chomiak J, Toth L. Surgical treatment of lumbar spondylodiscitis: a comparison of two methods. Int Orthop. 2014;38:1425–34.

Bernard L, Dinh A, Ghout I, Simo D, Zeller V, Issartel B, et al. Antibiotic treatment for 6 weeks versus 12 weeks in patients with pyogenic vertebral osteomyelitis: an open-label, non-inferiority, randomised, controlled trial. Lancet [Internet] 2015;385(9971):875–82. Available from:

https://www.sciencedirect.com/science/article/pii/S0140673614612332

Tschugg A, Hartmann S, Lener S, Rietzler A, Sabrina N, Thomé C. Minimally invasive spine surgery in lumbar spondylodiscitis: a retrospective single-center analysis of 67 cases. Eur Spine J. 2017;26:3141–6.

Downloads

Published

2023-08-10

How to Cite

Susilo, D. (2023). DIAGNOSIS AND TREATMENT SPONDYLODISCITIS: THE LITERATURE REVIEW. Journal of Advanced Research in Medical and Health Science (ISSN 2208-2425), 9(8), 72-78. https://doi.org/10.53555/nnmhs.v9i8.1796

Similar Articles

1-10 of 73

You may also start an advanced similarity search for this article.