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Disc space infection

L F Harris1, F P Haws

  • 1School of Primary Medical Care, University of Alabama School of Medicine at Huntsville 35801.

Alabama Medicine : Journal of the Medical Association of the State of Alabama
|January 1, 1994
PubMed
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Discitis, an infection of the intervertebral disc, often occurs after surgery or spreads through the blood. Diagnosis involves imaging and cultures, with treatment including antibiotics and possibly surgery.

Area of Science:

  • Infectious diseases
  • Orthopedic surgery
  • Radiology

Background:

  • Discitis, an infection of the intervertebral disc with contiguous subchondral vertebral osteomyelitis, frequently follows spinal surgery or hematogenous dissemination.
  • Most cases occur in the lumbosacral spine and are caused by staphylococci.
  • Clinical presentation includes localized spinal pain and fever.

Purpose of the Study:

  • To summarize the etiology, clinical presentation, diagnostic methods, treatment, and prognosis of discitis.

Main Methods:

  • Review of clinical findings.
  • Interpretation of radiologic studies including plain X-ray, bone scan, CT scan, and MR imaging.
  • Confirmation through blood or disc space material cultures.

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Main Results:

  • Staphylococci are the most common causative agents.
  • Diagnosis is supported by imaging and confirmed by microbial cultures.
  • Treatment involves antibiotics, immobilization, and sometimes surgery.

Conclusions:

  • Discitis generally has a good prognosis.
  • Potential sequelae include residual back pain, limited spinal mobility, and neurologic deficits.