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Infectious spondylitis in the Balearic Islands: An analysis of 51 cases
M Raya Cruz1, H H Vilchez Rueda2, C I Marinescu2
1Servicio de Medicina Interna y Enfermedades Infecciosas, Hospital Son Llàtzer, Palma de Mallorca, España.
Revista Clinica Espanola
|March 10, 2015
Summary
Vertebral osteomyelitis (VO) diagnosis is often delayed, with previous bacteremia being a key predisposing factor. Staphylococcus aureus is the most common pathogen, and complications are frequent.
Area of Science:
- Infectious Diseases
- Orthopedics
- Radiology
Background:
- Vertebral osteomyelitis (VO) is a rare spinal infection with increasing incidence.
- Understanding patient demographics and infection characteristics is crucial for improved management.
Purpose of the Study:
- To describe patients with vertebral osteomyelitis in a specific region.
- To compare local findings with existing published data on VO.
Main Methods:
- Retrospective review of 51 VO cases from 2004-2014 in two hospitals.
- Analysis of epidemiological, clinical, microbiological, treatment, and outcome data.
Main Results:
- Median age 66 years, 72.5% male; mean symptom onset 80 days.
- Hematogenous origin in 70.6%, often following bacteremia (45%); S. aureus most common pathogen (52.3%).
- MRI confirmed infection in all cases; abscesses (45.1%) and neurological deficits (13.7%) were common complications.
Conclusions:
- Diagnosis of vertebral osteomyelitis is frequently delayed.
- Previous bacteremia and hematogenous spread are primary risk factors.
- Staphylococcus aureus is the leading cause; combined blood cultures and percutaneous puncture enhance diagnosis, yet complications remain high.
Keywords:
Bone diseasesDiscitisEnfermedades óseasEspondilitisInfecciosasInfectiousOsteoarticular tuberculosisSpinal tuberculosisSpondylitisTuberculosis espinalTuberculosis osteoarticularMore Related Videos
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