Table 1

Diagnosis and management details of patients with vertebral body osteomyelitis and discitis treated with long-segment fusion in the absence of formal debridement.

Case	Indication for Surgery	Prior Treatment	Levels of Disc Space and Bone Involvement	Levels of Fixation Above	Levels of Fixation Below	Organism	IV Antibiotic Type and Duration	Oral Antibiotic Type and Duration
1	Osteomyelitis/discitis and bony instability	IV antibiotics	T11–T12	2	2	No growth on cultures	None	None
2	Osteomyelitis/discitis, neurological deficit, and bony instability	IV antibiotics	L4–L5	2	1 (to pelvis)	No growth on cultures	Daptomycin and Zosyn, 4 wk	Doxycycline, Life
3	Epidural abscess and neurological deficit	Laminectomy	L3–L5	2	1 (to pelvis)	Streptococcus mitis	Ceftriaxone, 6 wk	Not available
4	Epidural abscess, discitis, neurological deficit, and bony instability	None	T8–T9	2	4	MRSA	Nafcillin, 6 wk	Not available
5	Epidural abscess, neurological deficit, and bony instability	None	T5–T6	2	2	MRSA	Vancomycin, 12 wk	Doxycycline, Life
6	Osteomyelitis, epidural abscess, neurological deficit, and bony instability	Oral fluconazole	L1–L3	4	3	Candida	None	Fluconazole and Clindamycin, lost to follow-up
7	Discitis and bony instability	IV antibiotics and laminectomy	L5–S1	1	1 (to pelvis)	MRSA	Vancomycin and Daptomycin, 12 wk	Doxycycline, Life
8	Osteomyelitis/discitis	IV antibiotics	L2–L3	1	1	MSSA	Ceftriaxone, 4 wk	Not available
9	Osteomyelitis, neurological deficit, and bony instability	IV antibiotics	L5–S1	1	1 (to pelvis)	MSSA	Vancomycin, 8 wk	Not available
10	Osteomyelitis/discitis and bony instability	None	T7–T8	2	2	MRSA	Vancomycin, 8 wk	Doxycycline, Life
11	Osteomyelitis/discitis and neurological deficit	Bracing	L2–L3	1	1	Streptococcus anginosus	Ceftriaxone, 6 wk	Amoxicillin, Life
12	Osteomyelitis and bony instability	IV antibiotics	L2–L3	2	2	MSSA	Cefazolin, 6 wk	Doxycycline, Life
13	Epidural abscess, neurological deficit, and bony instability	None	T9–T10	3	3	No growth on cultures	Vancomycin and ceftriaxone, 2 wk	None
14	Osteomyelitis/discitis and bony instability	IV antibiotics	T9–T10	3	2	MRSA	Vancomycin, 8 wk	Doxycycline, Life
15	Epidural abscess and neurological deficit	None	T9–T10	3	3	MRSA	Daptomycin, 8 wk	Doxycycline, Life
16	Osteomyelitis/discitis, neurological deficit, and bony instability	None	T9–T10	2	3	Candida		Fluconazole, 24 wk
17	Osteomyelitis, neurological deficit, and bony instability	IV antibiotics	T11–T12	2	2	Corynebacterium	Vancomycin	Amoxicillin, Life
18	Osteomyelitis/discitis and bony instability	IV antibiotics	L3–L4	1	2 (to pelvis)	MSSA	Ceftriaxone	Doxycycline, Life
19	Discitis and epidural abscess	IV antibiotics and computed tomography-guided psoas drainage	L1–L4	1	1	MRSA	Ceftaroline, Vancomycin	Doxycycline, Life
20	Epidural abscess and neurological deficit	IV antibiotics	T6–T7	1	1	MSSA	Cefazolin	Not available
21	Osteomyelitis, epidural abscess, and neurological deficit	None	T11–L1	1	1	Streptococcus anginosus	Penicillin, Vancomycin	Amoxicillin, 24 wk
22	Discitis and neurological deficit	IV antibiotics	T9–T11	3	1	Escherchia coli	Cetriaxone	Not available
23	Discitis, epidural abscess, neurological deficit, and bony instability	IV antibiotics	L4–L5	2	1 (to pelvis)	Klebsiella	Ertapenem, Vancomycin	Clindamycin, 52 wk
24	Discitis, neurological deficit, and bony instability	None	T9–T10	2	2	Aggregobacter aphrophilus	CTX	Levofloxacin, 52 wk
25	Discitis and bony instability	IV antibiotics, oral fluconazole, irrigation, and debridement	T11–T12	2	2	Candida		Fluconazole, 24 wk
26	Osteomyelitis/discitis, neurological deficit, and bony instability	IV antibiotics	L2–L3	1	2	Peptostreptococcus	Ertapenem	Not available
27	Osteomyelitis and neurological deficit	IV antibiotics	T11–T12	2	2	MRSA	Ceftaroline	Bactrim, lost to follow-up

Abbreviations: IV, intravenous; MRSA, methicillin-resistant Staphylococcus aureus; MSSA, methicillin-susceptible Staphylococcus aureus.