[Acute hematogenic osteomyelitis of the spine in children]

The authors analyze 14 cases of acute hematogenic osteomyelitis of the vertebral column in children. Three variations of the clinical picture are described: meningitis-like, local and lightening types. Roentgenological symptoms were late to appear and certain patients might have no symptoms at all. Formation of purulent tuberculous abscesses near cartilaginous ends of ribs were observed and considered to be a characteristic feature of osteomyelitis of thoracic vertebrae in infants. The authors point to difficulties in opening the purulent abscesses and to the importance of complex treatment. Seven patients died.