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International Orthopaedics

Published in:

01-02-2012 | Review Article

Postoperative spondilodiscitis

Authors: Antoine Gerometta, Fabian Bittan, Juan Carlos Rodriguez Olaverri

Published in: International Orthopaedics | Issue 2/2012

Abstract

Introduction

Postoperative spondylodiscitis is a primary infection of the nucleus pulposus with secondary involvement of the cartilaginous endplate and vertebral bone. Although uncommon, postoperative spondylodiscitis causes major morbidity and may be associated with serious long-term sequelae. Several risk factors had been identified, including immunosuppression, obesity, alcohol, smoking, diabetes and malnutrition.

Materials and methods

A review of the literature was done to analyse the diagnosis, treatment and prevention of postoperative spondylodiscitis.

Results

We found that the principles of conservative treatment are to establish an accurate microbiological diagnosis, treat with appropriate antibiotics, immobilise the spine, and closely monitor for spinal instability and neurological deterioration. The purpose of surgical treatment is to obtain multiple cultures of bone and soft tissue, perform a thorough debridement of infected tissue, decompress neural structures, and reconstruct the unstable spinal column with bone graft with or without concomitant instrumentation.

Conclusions

Appropriate management requires aggressive medical treatment and, at times, surgical intervention. If recognised early and treated appropriately, a full recovery can often be expected. Therefore, clinicians should be aware of the clinical presentation of such infections to improve patient outcome. A review of the literature was done to advance our understanding of the diagnosis, treatment, prevention and outcome of these infections.

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Title: Postoperative spondilodiscitis
Authors: Antoine Gerometta
Fabian Bittan
Juan Carlos Rodriguez Olaverri
Publication date: 01-02-2012
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 2/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-011-1442-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Postoperative spondilodiscitis

Abstract

Introduction

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusions

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