[Diagnosis and Treatment of Spondylodiscitis/Spondylitis in Clinical Practice].

Bornemann, R; Müller-Broich, J D; Deml, M; Sander, K; Wirtz, D C; Pflugmacher, R (2015). [Diagnosis and Treatment of Spondylodiscitis/Spondylitis in Clinical Practice]. Zeitschrift für Orthopädie und Unfallchirurgie, 153(5), pp. 540-545. Thieme 10.1055/s-0035-1546216

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BACKGROUND

The clinical presentation of spondylsodiscitis/spondylitis are manifold. This commonly leads to a period of several months from initial symptoms to final diagnosis. A standardised treatment is difficult. The purpose of this study is to investigate the treatment carried out for patients with spondylodiscitis or spondylitis to develop an individualised standard care for better treatment.

PATIENTS AND METHODS

Data of 90 patients were retrospective analysed. In particular documented data of the initial examination and the following treatments concerning identification of causes and systematically control of pathogens were examined.

RESULTS

In 91 % of patients a diagnostically conclusive MRI was conducted. The degree of spondylidiscitis/spondylitis was mainly ASA criteria I or II (86 %). In 96 % of patients different diagnostic methods for identification of pathogens were conducted and documented. RESULTS confirmed the most common pathogens mentioned in the literature. 75 % of patients were treated by surgery. In 93 % of patients an antibiotic treatment was documented. 50 patients (81 %) were successfully healed.

CONCLUSION

It is important to identify and treat spondylodiscitis/spondylitis as early as possible. Diagnosis by means of blood culture and MRI and treatment of the infection with antibiotics and possibly surgical interventions seem be very suitable, but need to be individualised to each and every patient.

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