Treatment for spondylodiscitis |
Posted: October 8, 2021 |
Discitis refers to infection of the discs between the vertebrae of the spine. Spondylodiscitis is the primary infection of the intervertebral discs with secondary infections of the vertebrae also known as spondylitis. This infection begins at the end plates and can lead to osteomyelitis or infection in bone. The infections travel through the blood and spread in the nearby tissues. Spondylodiscitis is a monobacterial infection mainly caused by Staphylococcus aureus which is followed by gram-negative pathogens like Escherichia coli. Mycobacterium tuberculosis causes tuberculous spondylodiscitis whose symptoms are non-specific, diffuse and treacherous. Diagnosis of this disease is delayed and difficult since the disease is rare. Diagnosis is also tricky due to indolence or lack of symptoms. Any delay in diagnosis of spondylodiscitis may lead to long term morbidity or mortality. Dr Karunakaran, best spine specialist in Chennai provides treatment for spondylodiscitis and so that infection is eliminated and functionality of the spine is restored thus providing pain relief.MRI enables one to view the extent of infection and abscess formation if any. Magnetic Resonance Imaging orMRI is radiological demonstration of the condition with more than 90 percent each of sensitivity and specificity. Imaging has three benefits in diagnosis and assessment of spondylodiscitis. The spine specialist in India employs imaging since it assists early diagnosis and precisely defines the area affected as well as the regions where the disease is spread in the vertebrae, discs, epidural space and soft tissues. It also identifies the agent and guides percutaneous discovertebral needle aspiration so that choice of antibiotic therapy can be directed accordingly. Imaging detects neurological complications like compression or infectious complications like abscess which could be treated by surgical or percuaneous interventions. Plain film radiography is not suitable for early diagnosis since it is normal in first couple of weeks of the ailment. Radiography focuses on anteroposterior and lateral views of the painful segment of the spine and signs depend on agents of infection and only when bone destruction is more than 30 per cent. Mild spondylodiscitis which is not complicated with neurological deficit and without bony destruction responds well to conservative therapy which includes antimicrobial chemotherapy and immobilization. When the pathology progresses with the spread of infection, skeletal deformity and neurological deficits occur. For debridement of primary tissue, specimens are obtained for microbiological testing, decompression of spinal canal and bony fusion in order to obtain bone stability. Antibiotic therapy is crucial in treatment for spondylodiscitis. Neurological deficits, sepsis, spinal instability, failure of conservative treatment are causes which imply the necessity of surgical treatment. Though quality of life is satisfactory after treatment for spondylodiscitis, back pain might persist. The disease may appear again along with accompanying illness like diabetes mellitus, renal failure and undrained epidural abscesses. Vertebral osteomyelitis is the third common form of osteomyelitis that occurs in patients who are above fifty years old. Spondylodiscitis is heterogenic and has limited scientific evaluation and recommendation in is treatment. Diagnosis includes polymyalgia rheumatic, activated osteochondrosis, vertebral hemangioma and damage of spinal column owing to tumours, fractures and ankylosing spondyloarthritis. Diagnosis is not limited to radiological observation but also includes clinical, laboratory and microbiological observations. Management treatments are customized according to the radiological and lab studies. In comparison to conservative treatment, surgical treatment in uncomplicated spondylodiscitis could result in faster recovery and mobilization and better short term quality of life.
https://drkarunaspine.com/treatments/
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