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Updated: Mar 20, 2026

Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis

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[Spondylodiscitis in children and adolescents]

A Völker1, S Schubert2, C-E Heyde3

  • 1Klinik und Poliklinik für Orthopädie, Unfallchirurgie und plastische Chirurgie, Bereich Wirbelsäulenchirurgie, Universitätsklinikum Leipzig, Liebigstraße 20, 04103, Leipzig, Deutschland.

Der Orthopade
|May 26, 2016
PubMed

Insights

Pediatric spondylodiscitis, though rare, presents with unspecific symptoms and requires Magnetic Resonance Imaging (MRI) for diagnosis. Treatment is typically conservative, involving antibiotics and immobilization, with surgery reserved for severe cases.

Area of Science:

  • Pediatric Infectious Diseases
  • Pediatric Orthopedics
  • Pediatric Radiology

Background:

  • Spondylodiscitis in children is a rare condition, accounting for 2-4% of pediatric skeletal infections.
  • It can be classified as non-specific (bacterial) or specific (e.g., tuberculosis, brucellosis).

Purpose of the Study:

  • To present the epidemiology, clinical signs, radiological findings, and treatment options for pediatric spondylodiscitis.
  • To differentiate between non-specific and specific forms of the condition in children.

Main Methods:

  • A comprehensive review of the available medical literature was conducted.
  • The review focused on identifying key aspects of pediatric spondylodiscitis diagnosis and management.

Main Results:

  • Non-specific spondylodiscitis in children often results from Staphylococcus aureus via hematogenous spread.
  • Magnetic Resonance Imaging (MRI) is the gold standard for diagnosing spondylodiscitis, revealing unspecific clinical signs.
  • Conservative treatment, including antibiotics and spinal immobilization, is generally effective. Specific spondylodiscitis is more prevalent in endemic regions.
  • Surgical intervention is reserved for cases with severe deformities or neurological compromise.

Conclusions:

  • Elevated infectious markers and symptoms like back pain warrant consideration of spondylodiscitis in children.
  • MRI of the spine is crucial for ruling out or confirming the diagnosis of pediatric spondylodiscitis.
Abstract

Keywords:
BrucellaMycobacterium tuberculosisSpecific and unspecific infection of the spineSpondylodiscitis in childrenTreatment of spondylodiscitis

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