Pediatric spinal infections-a review of non-tuberculous infections

Chandan B Mohanty1, Graham Fieggen2, Chandrashekhar E Deopujari3

  • 1Bombay Hospital Institute of Medical Sciences, Mumbai, India. drmohantychandan@gmail.com.

Insights

Pediatric spinal infections, including epidural abscess and spondylodiscitis, are rare. This review synthesizes current literature to guide management strategies for these challenging pediatric conditions.

Area of Science:

  • Pediatric Infectious Diseases
  • Pediatric Neurosurgery
  • Pediatric Orthopedic Surgery

Background:

  • Pediatric spinal infections encompass spinal epidural abscess, spondylodiscitis, and intradural infections.
  • These conditions are exceptionally rare in children, leading to a lack of established clinical guidelines.
  • Effective management requires a comprehensive understanding of available literature.

Purpose of the Study:

  • To provide a detailed narrative review of pediatric spinal infections.
  • To consolidate current knowledge on the diagnosis and management of these rare conditions.
  • To inform clinical practice and guide future research in pediatric spinal infections.

Main Methods:

  • A comprehensive literature search was conducted using relevant databases.
  • Pertinent studies and case reports on pediatric spinal infections were identified and reviewed.
  • A narrative synthesis approach was employed to present the findings.

Main Results:

  • The review covers various pediatric spinal infection types, including spinal epidural abscess, spondylodiscitis, and intradural infections.
  • It highlights the rarity of these conditions and the absence of clear, universally accepted management guidelines.
  • Key aspects of diagnosis, treatment options, and potential complications are discussed based on existing literature.

Conclusions:

  • Pediatric spinal infections represent a diagnostic and therapeutic challenge due to their rarity.
  • A thorough review of the literature is crucial for developing effective management strategies.
  • Further research and guideline development are needed to optimize outcomes for affected children.

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