Infectious spondylodiscitis: has there been any evolution in the diagnostic and treatment outcomes?

• Autor(a) principal: Herrero,Carlos Fernando Pereira da Silva
• Data de Publicação: 2014
• Outros Autores: Nascimento,Anderson Luís do, Cunha,Rafael Pinheiro, Souza,João Paço Vaz de, Nogueira-Barbosa,Marcelo Henrique, Defino,Helton Luiz Aparecido
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Coluna/Columna
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512014000400294

Objective: To evaluate the clinical and radiological results of treatment of patients with spondylodiscitis. Methods: Imaging exams used in this study were plain radiographs and magnetic resonance imaging of the spine. Results: Data from 33 patients, 10 (30.3%) females and 23 (69.7%) males were evaluated. The average time to diagnosis was four months and 28 days (SD ± 1 month and 28 days) and 19 patients (57.5%) presented neurological deficit. Surgical treatment was performed in 22 patients (66.6%) and three patients (9.1%) had complications from the surgery. Conclusions: Despite technological advances in complementary exams, early diagnosis of spondylodiscitis remains a challenge. However, drug treatment associated with surgery shows good results.