[Spondylodiscitis and epidural abscesses]

Area of Science:

• Radiology
• Infectious Diseases
• Orthopedic Surgery

Background:

• Spondylodiscitis involves inflammation of the intervertebral disc and adjacent vertebrae, frequently presenting with non-specific back pain.
• Bacterial infections are common causes, potentially leading to epidural abscesses and complications.
• Accurate diagnosis and monitoring of spondylodiscitis rely heavily on radiological imaging, particularly MRI.

Purpose of the Study:

• To highlight the diagnostic and therapeutic roles of radiology in managing spondylodiscitis.
• To evaluate interventional radiological drainage as an alternative to surgery for epidural abscesses.

Main Methods:

• Review of standard radiological methods including MRI, CT, nuclear medicine, and conventional X-ray.
• Emphasis on MRI as the primary imaging modality due to its high diagnostic value.
• Consideration of CT and nuclear medicine for MRI-contraindicated patients.

Main Results:

• MRI is the most valuable imaging technique for spondylodiscitis diagnosis and follow-up.
• Interventional radiological drainage presents a promising, less invasive option for treating epidural abscesses.
• Adequate diagnosis and therapy lead to a good prognosis for spondylodiscitis.

Conclusions:

• Spondylodiscitis requires prompt diagnosis and comprehensive treatment, including antibiotics and potentially invasive procedures.
• Interventional radiological drainage offers a minimally invasive alternative to surgery for managing associated epidural abscesses.
• Early intervention with appropriate radiological guidance improves patient outcomes.