Advances in diagnosis and management of atypical spinal infections: A comprehensive review.
Publication/Presentation Date
12-1-2023
Abstract
Atypical spinal infections (ASIs) of the spine are a challenging pathology to management with potentially devastating morbidity and mortality. To identify patients with atypical spinal infections, it is important to recognize the often insidious clinical and radiographic presentations, in the setting of indolent and smoldering organism growth. Trending of inflammatory markers, and culturing of organisms, is essential. Once identified, the spinal infection should be treated with antibiotics and possibly various surgical interventions including decompression and possible fusion depending on spine structural integrity and stability. Early diagnosis of ASIs and immediate treatment of debilitating conditions, such as epidural abscess, correlate with fewer neurological deficits and a shorter duration of medical treatment. There have been great advances in surgical interventions and spinal fusion techniques for patients with spinal infection. Overall, ASIs remain a perplexing pathology that could be successfully treated with early diagnosis and immediate, appropriate medical, and surgical management.
Volume
16
First Page
100282
Last Page
100282
ISSN
2666-5484
Published In/Presented At
Gonzalez, G. A., Porto, G., Tecce, E., Oghli, Y. S., Miao, J., O'Leary, M., Chadid, D. P., Vo, M., & Harrop, J. (2023). Advances in diagnosis and management of atypical spinal infections: A comprehensive review. North American Spine Society journal, 16, 100282. https://doi.org/10.1016/j.xnsj.2023.100282
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
37915965
Department(s)
Administration and Leadership
Document Type
Article