Document Detail


Hematogenous pyogenic spinal infection: current perceptions.
MedLine Citation:
PMID:  23027479     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
As a result of reading this article, physicians should be able to:1.Understand the importance of early diagnosis and treatment of spinal infection in an effort to avoid devastating and crippling complications such as paralysis, painful deformity, and death.2.Understand current perceptions in the ongoing debate of whether operative or conventional treatment should be preferred and in which cases.3.Understand the latest advances in the surgical treatment of spinal infection, their indications, and their effectiveness.4.Understand the change in the traditionally held belief that in the presence of infection, the use of metal implants or grafts is not indicated. Controversy exists regarding optimal treatment for pyogenic spinal infection. The authors systematically reviewed peer-reviewed published clinical trials in the English language through 2009 on the clinical presentation, complications, and conservative and operative treatments of pyogenic spinal infection. The cornerstone of therapy for uncomplicated spondylodiskitis is intravenous antibiotics followed by oral antibiotics and bracing. Surgery is effective in complicated cases and improves sagittal balance, restores neurological impairment, and relieves severe pain. In cases of delayed diagnosis or surgery, potential early devastating and late crippling complications may occur. To the authors' knowledge, no Level I studies compare operative vs conservative treatment of pyogenic spinal infection.
Authors:
Panagiotis Korovessis; Thomas Repantis; Alexander G Hadjipavlou
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Orthopedics     Volume:  35     ISSN:  1938-2367     ISO Abbreviation:  Orthopedics     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-02     Completed Date:  2013-03-22     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  7806107     Medline TA:  Orthopedics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  885-92     Citation Subset:  IM    
Copyright Information:
Copyright 2012, SLACK Incorporated.
Affiliation:
Orthopaedic Department, General Hospital Agios Andreas, Patras, Greece. korovess@otenet.gr
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MeSH Terms
Descriptor/Qualifier:
Bacterial Infections / diagnosis*,  therapy*
Humans
Spondylitis / diagnosis*,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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