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

2014; Sociedade Brasileira de Coluna (SBC); Volume: 13; Issue: 4 Linguagem: Inglês

10.1590/s1808-18512014130400442

2177-014X

Carlos Fernando Pereira da Silva Herrero, Anderson Luís do Nascimento, Rafael Pinheiro Cunha, João Paço, Marcello Henrique Nogueira‐Barbosa, Helton Luíz Aparecido Defino,

Amoebic Infections and Treatments

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.