The Kurume Medical Journal
Online ISSN : 1881-2090
Print ISSN : 0023-5679
ISSN-L : 0023-5679
Review Article
Pyogenic Spondylitis: Clinical Features, Diagnosis and Treatment
KIMIAKI SATO, KEI YAMADA, KIMIAKI YOKOSUKA, TATSUHIRO YOSHIDA, MASAFUMI GOTO, TSUNEMASA MATSUBARA, SHOJI IWAHASHI, TAKAHIRO SHIMAZAKI, KENSEI NAGATA, NAOTO SHIBA, THE RESEARCH GROUP FOR SPINE AND SPINAL CORD DISORDERS (HONNEKAI)
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Keywords: pyogenic spondylitis, spondylodiscitis, discitis, vertebral osteomyelitis, spinal osteomyelitis
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2018 Volume 65 Issue 3 Pages 83-89

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Abstract

Summary: Although pyogenic spondylitis is an infrequent infection, its incidence is increasing because of the growing number of elderly people and immunocompromised patients. Diagnosis is often difficult and appropriate imaging, blood cultures and/or biopsy are essential in making an early diagnosis. Most of the cases can be treated non-operatively. Surgical treatment is indicated in patients with spinal cord or cauda equine compression with progressive neurological deficits and/or patients who have failed conservative treatment. Early and accurate diagnosis of pyogenic spondylitis is important for timely and effective management, in order to reduce the occurrence of spinal deformity and dysfunction.

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© 2018 Kurume University School of Medicine
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