Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2019 Aug 12;16(6):508-512.
doi: 10.1016/j.jor.2019.08.014. eCollection 2019 Nov-Dec.

Management of Pyogenic Spinal Infection, review of literature

Ahmed Aljawadi  1 , Noman Jahangir  1 , Ana Jeelani  1 , Zak Ferguson  1 , Noman Niazi  1 , Frances Arnall  2 , Anand Pillai  1
Affiliations
Review

Management of Pyogenic Spinal Infection, review of literature

Ahmed Aljawadi et al. J Orthop. .

Abstract

Objective: To evaluate the available evidence for the management of Pyogenic Spinal Infection (PSI).

Methods and results: A comprehensive search for the relevant literature published between 1990 and 2018 to evaluate the management of PSI was conducted.Nonoperative management of carefully selected patients for an adequate duration of antibiotics can result in satisfactory outcomes with low recurrence rate. When there is an indication for surgery, posterior approach, with or without debridement of infected tissue reported to be associated with good outcomes.

Conclusion: Studies with larger sample sizes and longer duration of follow up are recommended to formulate more comprehensive evidence.

Keywords: Discitis; Infection; Management; Spine; Spondylitis; Surgery.

PubMed Disclaimer

References

    1. Nasto L.A., Colangelo D., Mazzotta V. Is posterior percutaneous screw-rod instrumentation a safe and effective alternative approach to TLSO rigid bracing for single-level pyogenic spondylodiscitis? Results of a retrospective cohort analysis. Spine J. 2014;14(7):1139–1146. doi: 10.1016/j.spinee.2013.07.479. - DOI - PubMed
    1. Robinson Y., Tschoeke S.K., Finke T., Kayser R., Ertel W., Heyde C.E. Successful treatment of spondylodiscitis using titanium cages: a 3-year follow-up of 22 consecutive patients. Acta Orthop. 2008;79(5):660–664. - PubMed
    1. Hadjipavlou A.G., Mader J.T., Necessary J.T., Muffoletto A.J. Hematogenous pyogenic spinal infections and their surgical management. Spine. 2000;25(13):1668–1679. - PubMed
    1. Skaf G., Domloj N., Fehlings M. Pyogenic spondylodiscitis: an overview. J Infect Public Health. 2010;3(1):5–16. - PubMed
    1. Zimmerli W. Vertebral osteomyelitis. N Engl J Med. 2010;362(11):1022–1029. - PubMed

LinkOut - more resources