Evaluation and Management of Pyogenic and Tubercular Spine Infections.

Publication/Presentation Date

12-1-2018

Abstract

PURPOSE OF REVIEW: To review the most current diagnostic tools and treatment options for pyogenic and tubercular spine infection.

RECENT FINDINGS: Recent studies have focused on risk factors for failed nonoperative management in order to improve patient selection. Also, spine instrumentation and different grafting options have been safely utilized in the setting of an active infection without increasing the incidence of reoccurrence. However, the optimal surgical technique has yet to be established and instead should be patient specific. Spine infections include a broad spectrum of disorders including discitis, vertebral osteomyelitis, and spinal epidural abscess. It is paramount to recognized spine infections early due to the potential catastrophic consequences of paralysis and sepsis. The management of spine infections continues to evolve as newer diagnostic tools and surgical techniques become available. Magnetic resonance imaging with contrast is the imaging study of choice and computed tomography-guided biopsies are crucial for guiding antibiotic selection. Antibiotics are the mainstay of treatment and surgery is indicated in patients with neurological deficits, sepsis, spinal instability, and those who have failed nonoperative treatment.

Volume

11

Issue

4

First Page

643

Last Page

652

ISSN

1935-973X

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

30280287

Department(s)

Administration and Leadership

Document Type

Article

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