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Updated: Aug 9, 2026
Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
[Infectious spondylodiscitis: the surgical approach]
1Service de chirurgie orthopédique et de traumatologie de l'appareil moteur, HUG, 1211 Genève 14. antonio.faundez@hcuge.ch
Abstract:
Introduction of antibiotics in the last century and recent progress in surgical techniques have significantly reduced mortality and morbidity rates of spondylodiscitis. However, when unrecognized, it can have catastrophic consequences for the patient. Antibiotic drugs remain the cornerstone of treatment, and surgery is to be discussed in general as a last resource in case of acute neurologic deficit or severe sagittal or frontal spinal imbalance. Metallic implants are not absolutely contraindicated in surgical treatment of spondylodiscitis and relapse of infection has been reported to be rare. In case of severe mechanical instability and neurologic deficit, they even are indispensable and complications can be avoided by accurately identifying the germ and by treating infection with the adequate antibiotic beforehand.
Insights
Antibiotic treatment is key for spondylodiscitis, a spinal infection. Surgery, sometimes with implants, is reserved for severe cases with neurologic deficits or instability, with rare infection relapse.
Area of Science:
- Infectious Diseases
- Orthopedic Surgery
- Spinal Medicine
Context:
- Spondylodiscitis, a spinal infection, poses significant risks if untreated.
- Advances in antibiotics and surgical techniques have improved outcomes.
- Early recognition and treatment are crucial to prevent severe complications.
Purpose:
- To review the current understanding and management of spondylodiscitis.
- To highlight the role of antibiotics and surgical interventions.
- To discuss the safety and efficacy of metallic implants in surgical treatment.
Summary:
- Antibiotics are the primary treatment for spondylodiscitis.
- Surgery is indicated for acute neurologic deficits or severe spinal imbalance.
- Metallic implants can be used safely in surgical management, with rare infection relapse.
- Accurate germ identification and appropriate antibiotic therapy are vital to prevent complications.
Impact:
- Improved patient outcomes through timely and appropriate management.
- Reduced morbidity and mortality associated with spondylodiscitis.
- Guidance for clinicians on surgical indications and the use of implants.
