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Published on: June 23, 2020
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.
Abstract:
Pediatric spinal infection includes spinal epidural abscess, spondylodiscitis and intradural (extramedullary and intramedullary) spinal infections. However, these entities are extremely rare and no clear guidelines exist for their management. Pertinent literature was searched and a detailed narrative review of this topic is presented.
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