2,588 results match your criteria Diskitis


Treatment algorithm for spontaneous spinal infections: A review of the literature.

J Craniovertebr Junction Spine 2019 Jan-Mar;10(1):3-9

Department of Human Neurosciences, Division of Neurosurgery, Sapienza University of Rome, Rome, Italy.

Background: Primary spinal infections are rare pathologies with an estimated incidence of 5% of all osteomyelitis. The diagnosis can be challenging and this might result in a late identification. The etiological diagnosis is the primary concern to determine the most appropriate treatment. Read More

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http://dx.doi.org/10.4103/jcvjs.JCVJS_115_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469318PMC

Complications associated with stellate ganglion nerve block: a systematic review.

Reg Anesth Pain Med 2019 Apr 16. Epub 2019 Apr 16.

Anesthesiology, Clement Zablocki VA Medical Center/Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Stellate ganglion nerve blockade (SGNB) is a vital tool in our armamentarium for the treatment of various chronic pain syndromes. SGNB can be performed using the traditional landmark-based approach, or with image guidance using either fluoroscopy or ultrasound. In this review, we systematically analyzed reported SGNB-related complications between 1990 and 2018. Read More

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http://dx.doi.org/10.1136/rapm-2018-100127DOI Listing
April 2019
1 Read

Pancytopenia as a Consequence of Sepsis and Intravenous Antibiotic Drug Toxicity.

Cureus 2019 Feb 1;11(2):e3994. Epub 2019 Feb 1.

Internal Medicine, Ocala Regional Medical Center/ University of Central Florida College of Medicine, Ocala, USA.

This case involves a 62-year-old male with a prior history of epidural abscess and L1-L2 osteodiscitis who was admitted because of low back pain. The patient was previously treated for methicillin-susceptible Staphylococcus aureus (MSSA) discitis in the L1/L2 vertebral region with intravenous (IV) nafcillin through a peripherally inserted central catheter (PICC). However, he returned after four months with recurrent low back pain along with chills and fever. Read More

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https://www.cureus.com/articles/17399-pancytopenia-as-a-cons
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http://dx.doi.org/10.7759/cureus.3994DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443538PMC
February 2019
2 Reads

Managing of musculoskeletal infections in children.

Eur Rev Med Pharmacol Sci 2019 Apr;23(2 Suppl):179-186

Department of Orthopaedics and Traumatology, Institute of Scientific Research, Children's Hospital Bambino Gesù, Rome, Italy.

Objective: Epidemiological features of musculoskeletal infections are in continuous evolution. The incidence of emerging causative pathogen is arising. Nevertheless, up to 50% of osteoarticular infections shows negative cultures. Read More

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http://dx.doi.org/10.26355/eurrev_201904_17488DOI Listing
April 2019
1 Read

A systematic review: characteristics, complications and treatment of spondylodiscitis.

Eur Rev Med Pharmacol Sci 2019 Apr;23(2 Suppl):117-128

Department Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.

Objective: This systematic review focuses on 5 key elements that may improve the decision-making process in spondylodiscitis: the infective agent, segmental instability, abscess development, neurological compromise and focus of infection.

Materials And Methods: We included 64 studies published between May 2012 and May 2017, that reported both a description of the discitis and comparative data regarding the disease and its complications.

Results: The majority of cases were caused by Staphylococcus spp (40. Read More

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http://www.europeanreview.org/article/17481
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http://dx.doi.org/10.26355/eurrev_201904_17481DOI Listing
April 2019
4 Reads

Evaluation of Challenges in Diagnosis of Spontaneous Subacute Pyogenic Spondylodiscitis in Immunocompetent Patients: Experiences from a Tertiary Care Center.

Asian Spine J 2019 Apr 2. Epub 2019 Apr 2.

Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, India.

Study Design: Prospective clinical study.

Purpose: We evaluated the challenges faced during diagnosis and management of patients with subacute pyogenic discitis and discussed various clues in clinical history, radiologic and hematologic parameters of these patients that helped in establishing their diagnosis.

Overview Of Literature: Present literature available shows that in patients with subacute spondylodiscitis and infection with less virulent organisms, the clinical picture often is confusing and the initial radiologic and hematologic studies do not contribute much toward establishing the diagnosis. Read More

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http://dx.doi.org/10.31616/asj.2018.0220DOI Listing
April 2019
1 Read

Outcomes of decompression and fusion for treatment of spinal infection

Neurosurg Focus 2019 Feb 15;46(1):E7. Epub 2019 Feb 15.

1Department of Neurosurgery, University of Louisville, Louisville, Kentucky.

Objective: Spine infection including vertebral osteomyelitis, discitis, paraspinal musculoskeletal infection, and spinal abscess refractory to medical management poses significant challenges to the treating physician. Surgical management is often required in patients suffering neurological deficits or spinal deformity with significant pain. To date, best practices have not been elucidated for the optimization of health outcomes and resource utilization in the setting of surgical intervention for spinal infection. Read More

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http://dx.doi.org/10.3171/2018.10.FOCUS18460DOI Listing
February 2019
3 Reads

Percutaneous navigable intradiscal decompression in treatment of lumbar disc herniation: a single-center experience

Turk J Med Sci 2019 04 18;49(2):519-524. Epub 2019 Apr 18.

Background/aim: Minimally invasive procedures have been increasingly used for the treatment of herniated discs. Nonsurgical interventions minimize the secondary damage to other tissues and shorten the length of hospital stay by avoiding general anesthesia. Possible complications are thermal injuries, root injury, discitis, endplate damage, dural injury, meningitis, infection, increase in pain, and muscle spasm. Read More

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http://dx.doi.org/10.3906/sag-1805-187DOI Listing
April 2019
1 Read

Endoscopic Treatment of Thoracic Discitis with Robotic Access: A Case Report Merging Two Cutting-edge Technologies.

World Neurosurg 2019 Mar 11. Epub 2019 Mar 11.

Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA. Electronic address:

Background: Emerging technologies in minimally-invasive spinal surgery include surgical robots for navigation and spinal endoscopy. We applied these technologies in concert to treat a critically ill patient with thoracic discitis.

Case Description: The patient is an 83-year old woman with extensive medical comorbidities. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.03.036DOI Listing
March 2019
4 Reads

Vertebral osteomyelitis due to Candida species.

Infection 2019 Mar 13. Epub 2019 Mar 13.

Department of Pathology and Laboratory Medicine, West Virginia University School of Medicine, Morgantown, West Virginia, USA.

Objective: We have noted an increased number of cases of vertebral osteomyelitis secondary to Candida species over the past few years at our facility. Our aim was to identify and review these cases to elucidate risk factors, treatment regimens and outcomes.

Methods: We performed a retrospective chart review using our electronic medical record and microbiology laboratory database to identify cases of vertebral osteomyelitis due to Candida at a single teaching hospital from 2006-2018. Read More

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http://dx.doi.org/10.1007/s15010-019-01294-6DOI Listing

Radiographic Musculoskeletal Findings Indicating Opioid Misuse: An Overview for Orthopedic Surgeons.

HSS J 2019 Feb 8;15(1):84-92. Epub 2019 Jan 8.

2UHealth Sports Medicine Institute, University of Miami Miller School of Medicine, Coral Gables, FL USA.

Background: Given the high prevalence of musculoskeletal conditions in the USA, it is important for orthopedic surgeons to promptly identify patients who may be at risk for opioid misuse.

Questions/purposes: The aim of this literature review was to elucidate various musculoskeletal pathologies and complications, as seen on imaging, that may indicate opioid misuse or opioid use disorder.

Methods: A literature search was conducted using the PubMed, Scopus, and Cochrane Library databases for articles related to imaging findings associated with chronic opioid use or misuse in orthopedic patients. Read More

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http://dx.doi.org/10.1007/s11420-018-09654-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6384203PMC
February 2019
2 Reads

MRSA Spinal Epidural Abscess as a Neurosurgical and Infectious Disease Emergency with Unresolved Antimicrobial Solution.

Case Rep Infect Dis 2019 30;2019:7413089. Epub 2019 Jan 30.

Department of Infectious Disease, Mayo Clinic, Jacksonville, Florida, USA.

Spinal epidural abscess caused by MRSA, a life-threatening organism resistant to methicillin and other antibiotics, is a rare but important infectious pathology due to its potential damage to the spinal cord. We present the case of a 74-year-old man who hematogenously seeded his entire epidural spinal canal from C1 to sacrum with MRSA bacteria and remained infected even after maximal treatment with vancomycin and daptomycin. Ceftaroline, a new 5th generation antibiotic with recently described clearance of widespread MRSA infection in epidural complex spine infections, was added to vancomycin as dual therapy for his MRSA infection. Read More

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http://dx.doi.org/10.1155/2019/7413089DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374787PMC
January 2019
6 Reads

The role of histology in the diagnosis of spondylodiscitis: correlation with clinical and microbiological findings.

Bone Joint J 2019 03;101-B(3):246-252

Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Nuffield Orthopaedic Centre, Oxford, UK.

Aims: The aim of this study was to determine the diagnostic utility of histological analysis in spinal biopsies for spondylodiscitis (SD).

Patients And Methods: Clinical features, radiology, results of microbiology, histology, and laboratory investigations in 50 suspected SD patients were evaluated. In 29 patients, the final (i. Read More

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http://dx.doi.org/10.1302/0301-620X.101B3.BJJ-2018-0491.R2DOI Listing
March 2019
1 Read

Drug-induced paraspinal myositis mimicking acute bilateral sciatica.

BMJ Case Rep 2019 Feb 21;12(2). Epub 2019 Feb 21.

Emergency Department, Guy's and Saint Thomas' NHS Foundation Trust, London, UK.

Although cocaine induced myopathy and myotoxicity are described in the literature, we report a rare case of cocaine induced paraspinal myositis presenting with acute sciatic symptoms. A 35-year-old man presented with acute left-sided sciatica and was discharged from the emergency department (ED). He subsequently attended ED the following day in severe pain and bilateral sciatic symptoms, but denied symptoms of neurogenic bowel/bladder disturbance. Read More

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http://dx.doi.org/10.1136/bcr-2018-224480DOI Listing
February 2019
1 Read

Osteoarticular manifestations of human brucellosis: A review.

World J Orthop 2019 Feb 18;10(2):54-62. Epub 2019 Feb 18.

Boston University School of Medicine, Boston, MA 02118, United States.

Brucellosis is a common global zoonotic disease, which is responsible for a range of clinical manifestations. Fever, sweating and musculoskeletal pains are observed in most patients. The most frequent complication of brucellosis is osteoarticular involvement, with 10% to 85% of patients affected. Read More

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http://dx.doi.org/10.5312/wjo.v10.i2.54DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379739PMC
February 2019
1 Read

Spondylodiscitis in end-stage renal disease: a systematic review.

J Neurosurg Spine 2019 Feb 15:1-9. Epub 2019 Feb 15.

1Department of Neurological Surgery, University of Miami, Miami, Florida; and.

OBJECTIVEDiscitis and osteomyelitis are seen in end-stage renal disease (ESRD) patients due to repeated vascular access for hemodialysis and urinary tract infections leading to recurrent bacteremia. Discitis and osteomyelitis are underdiagnosed due to the nonspecific initial presentation of back pain. In this article, we review the literature for better understanding of the problem and the importance of early diagnosis by primary care physicians and nephrologists. Read More

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http://dx.doi.org/10.3171/2018.9.SPINE18824DOI Listing
February 2019
2 Reads

Gouty spondylodiscitis with lumbar vertebral body retrolisthesis: A case report.

Medicine (Baltimore) 2019 Feb;98(7):e14415

Orthopaedics Surgery Department, China-Japan Union Hospital of Jilin University, Changchun, Jilin Province, China.

Rationale: Gout occurs mainly in joints, but rarely in the spine. In the spine, urate crystals can cause intervertebral space instability but rarely lead to retrolisthesis. Here, we present an extremely rare disease with gout invaded the intervertebral disc with lumbar retrolisthesis. Read More

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http://dx.doi.org/10.1097/MD.0000000000014415DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408027PMC
February 2019
6 Reads

Minimally Invasive Cervical Pedicle Screw Placement With a Freehand Technique Through the Posterolateral Approach Using a Tubular Retractor: A Technical Note.

Oper Neurosurg (Hagerstown) 2019 Feb 5. Epub 2019 Feb 5.

Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Background And Importance: Although many studies have demonstrated the biomechanical superiority of cervical pedicle screw (CPS) placement with sufficient safety and accuracy, it also has an inevitable major drawback in that an extensive posterior neck muscle dissection results in immediate postoperative neck pain. To avoid this disadvantage and highlight the several biomechanical advantages of CPS, we conducted the first minimally invasive surgery using both a tubular retractor through the posterolateral approach and a freehand placement technique.

Clinical Presentation: A 77-yr-old man presented with quadriparesis and neck pain. Read More

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http://dx.doi.org/10.1093/ons/opy375DOI Listing
February 2019
2 Reads

Imaging of Acute Low Back Pain.

Radiol Clin North Am 2019 Mar 5;57(2):397-413. Epub 2018 Dec 5.

Department of Radiology and Imaging Sciences, University of Utah, 30 North 1900 East, Room 1A71, Salt Lake City, UT 84132, USA. Electronic address:

Acute low back pain, defined as less than 6 weeks in duration, does not require imaging in the absence of "red flags" that may indicate a cause, such as fracture, infection, or malignancy. When imaging is indicated, it is important to rule out a host of abnormalities that may be responsible for the pain and any associated symptoms. A common mnemonic VINDICATE can help ensure a thorough consideration of the possible causes. Read More

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http://dx.doi.org/10.1016/j.rcl.2018.10.001DOI Listing
March 2019
2 Reads

The Efficacy of Computed Tomography-Guided Percutaneous Spine Biopsies in Determining a Causative Organism in Cases of Suspected Infection: A Systematic Review.

Can Assoc Radiol J 2019 Feb;70(1):96-103

Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Purpose: In suspected spondylodiscitis and vertebral osteomyelitis, computed tomography (CT)-guided biopsies are often performed to determine a causative organism and guide antimicrobial therapy. The aim of this study is to determine the diagnostic culture yield of CT-guided biopsies performed in cases of suspected spinal infections.

Methods: A literature search of PubMed and MEDLINE up to April 2017 was performed for keywords "CT guided vertebral biopsy infection," "CT-guided spine biopsy infection," "CT guided spine biopsy yield," and "CT guided vertebral biopsy yield. Read More

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http://dx.doi.org/10.1016/j.carj.2018.09.003DOI Listing
February 2019
1 Read

Community acquired Stenotrophomonas maltophilia discitis: Diagnosis aided by shotgun metagenomic sequencing.

Int J Infect Dis 2019 Apr 23;81:1-3. Epub 2019 Jan 23.

Zhejiang-California International Nanosystems Institute, Zhejiang University, Hangzhou, China; Department of Pathology and Laboratory Medicine, UCLA School of Medicine, Los Angeles, CA, USA. Electronic address:

We report a rare case of culture negative L4-L5 discitis and epidural abscess in an immunocompetent child who had dry cupping therapy performed to treat low back strain. The causative pathogen was identified as Stenotrophomonas maltophilia by shotgun metagenomic sequencing of spinal cord aspirate after more than one month of unsuccessful empirical treatment with 6 different antibiotics. The patient was successfully treated with Sulfamethoxazole-trimethoprim and minocycline. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S12019712193004
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http://dx.doi.org/10.1016/j.ijid.2019.01.032DOI Listing
April 2019
10 Reads

Staphylococcus caprae: A Skin Commensal with Pathogenic Potential.

Cureus 2018 Oct 23;10(10):e3485. Epub 2018 Oct 23.

Internal Medicine, Case Western Reserve University School of Medicine, Cleveland, USA.

Staphylococcus caprae (S. caprae) is a catalase-positive, coagulase-negative organism that was first isolated from goat milk, and was later found to colonize healthy human skin, nails, and nasal mucosa. Rarely, this commensal organism can become pathogenic in humans. Read More

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https://www.cureus.com/articles/15064-staphylococcus-caprae-
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http://dx.doi.org/10.7759/cureus.3485DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314791PMC
October 2018
4 Reads

The outcome following spinal instrumentation in haemodialyzed patients with pyogenic spondylodiscitis.

Bone Joint J 2019 Jan;101-B(1):75-82

Spine Center, Department of Orthopedics, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, South Korea.

Aims: The aim of this study was to evaluate the outcome of spinal instrumentation in haemodialyzed patients with native pyogenic spondylodiscitis. Spinal instrumentation in these patients can be dangerous due to rates of complications and mortality, and biofilm formation on the instrumentation.

Patients And Methods: A total of 134 haemodialyzed patients aged more than 50 years who underwent surgical treatment for pyogenic spondylodiscitis were included in the study. Read More

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http://dx.doi.org/10.1302/0301-620X.101B1.BJJ-2018-0869.R1DOI Listing
January 2019
1 Read

Secondary amyloidosis associated with heroin use and recurrent infections - A case report.

Authors:
Deepthi Mani

Ann Med Surg (Lond) 2019 Jan 22;37:38-41. Epub 2018 Nov 22.

Multi Care Good Samaritan Hospital, Puyallup, WA, USA.

A 49-year-old lady with history of polysubstance use disorder, recurrent cutaneous abscesses, spinal diskitis and septic thrombophlebitis presented to the emergency room with complaints of intermittent fevers, worsening right hip pain and bilateral lower extremity edema. A month before the presentation, she had left another hospital against medical advice after being diagnosed with Methicillin-resistant bacteremia and right hip septic arthritis. Post discharge, she was off antibiotics, but continued heroin and methamphetamine use. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S20490801183026
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http://dx.doi.org/10.1016/j.amsu.2018.11.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297111PMC
January 2019
3 Reads

Presentation and Outcomes After Medical and Surgical Treatment Versus Medical Treatment Alone of Spontaneous Infectious Spondylodiscitis: A Systematic Literature Review and Meta-Analysis.

Global Spine J 2018 Dec 13;8(4 Suppl):49S-58S. Epub 2018 Dec 13.

University of Virginia, Charlottesville, VA, USA.

Study Design: Systematic literature review.

Objectives: The aims of this study were to (1) describe the clinical features, disabilities, and incidence of neurologic deficits of pyogenic spondylodiscitis prior to treatment and (2) compare the functional outcomes between patients who underwent medical treatment alone or in combination with surgery for pyogenic spondylodiscitis.

Methods: A systematic literature review was performed using PubMed according to PRISMA guidelines. Read More

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http://dx.doi.org/10.1177/2192568218799058DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295820PMC
December 2018
6 Reads

Infectious Spondylitis Mimics: Mechanisms of Disease and Imaging Findings.

Authors:
Humberto Morales

Semin Ultrasound CT MR 2018 Dec 15;39(6):587-604. Epub 2018 Nov 15.

Section of Neuroradiology, University of Cincinnati Medical Center, Cincinnati, OH. Electronic address:

Infectious processes of the spine are on the rise; in this scenario recognition of entities imitating infection is very important. The discovertebral unit is regarded as one of the most important and active sites in the spine. Importantly, the vertebral bony rim and the anterior corners of the vertebral bodies have significant vascularization, they are the last regions to ossify in the developmental process and suffer mechanical forces. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08872171183011
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http://dx.doi.org/10.1053/j.sult.2018.11.006DOI Listing
December 2018
14 Reads

Spondylodiscitis developing in a young man - diagnostic and therapeutic difficulties.

Reumatologia 2018 31;56(5):328-332. Epub 2018 Oct 31.

Clinic of Rheumatology, UMHAT St. Ivan Rilski University Hospital, Sofia, Bulgaria.

Infectious spondylodiscitis is characterized by vertebral osteomyelitis, spondylitis, and discitis. Patients present with persistent low back pain, fever, or neurological findings. Diagnosis is made with a combination of clinical, radiological, and laboratory findings. Read More

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http://dx.doi.org/10.5114/reum.2018.79505DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263306PMC
October 2018
3 Reads

Long-Term Follow-Up of a Patient with Spondylodiscitis after Laparoscopic Sacrocolpopexy: An Unusual Complication with a Review of the Literature.

Urol Int 2018 Nov 28:1-5. Epub 2018 Nov 28.

Department of Obstetrics and Gynecology, Division of Urogynecology, Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey.

Sacrocolpopexy is the gold standard treatment for apical compartment prolapse with reported success rates of 78-100%. Spondylodiscitis is a rare complication of sacrocolpopexy and includes a spectrum of spinal infections such as discitis, osteomyelitis, epidural abscess, meningitis, subdural empyema, and spinal cord abscess. Here we report a case of spondylodiscitis following laparoscopic sacrocolpopexy with long-term follow-up and discuss management of spondylodiscitis after abdominal sacrocolpopexy, with a review of the literature. Read More

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http://dx.doi.org/10.1159/000494370DOI Listing
November 2018
6 Reads

Microendoscopic discectomy for lumbar disc herniations.

J Craniovertebr Junction Spine 2018 Jul-Sep;9(3):156-162

Department of Neurosurgery, Dr. D. Y. Patil Medical College and Hospital, Pune, Maharashtra, India.

Introduction: Lumbar disc herniation is one of the main causes of discogenic low back pain and reported to affect 60%-80% of people during their lifetime. The two main surgical modalities for intervertebral disc surgery are standard open discectomy and minimally invasive discectomy which include percutaneous endoscopic lumbar discectomy and microendoscopic discectomy (MED). We report our experience with the same technique of MED to evaluate the efficacy of MED for lumbar disc pathology. Read More

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http://www.jcvjs.com/text.asp?2018/9/3/156/242817
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http://dx.doi.org/10.4103/jcvjs.JCVJS_61_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6187901PMC
November 2018
18 Reads

Spinal involvement with calcium pyrophosphate deposition disease in an academic rheumatology center: A series of 37 patients.

Semin Arthritis Rheum 2018 Oct 14. Epub 2018 Oct 14.

Université Paris Diderot France, France; Department of Rheumatology, Hôpital Lariboisière, Assistance Publique des Hôpitaux de Paris, 75010 Paris, France; INSERM U1132, Hôpital Lariboisière, Université Paris Diderot, France. Electronic address:

Background: Calcium pyrophosphate dihydrate deposition disease (CPPD) has been reported to involve the spine, but few systematic studies have been published.

Objective: To further characterize the spinal involvement with CPPD by a review of CPPD patients hospitalized in a rheumatology department.

Methods: We retrospectively reviewed data for patients consecutively admitted with a diagnosis of CPPD in the rheumatology department of Lariboisière hospital in Paris, France over 5 years by using a standardized protocol and electronic case report forms. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00490172183043
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http://dx.doi.org/10.1016/j.semarthrit.2018.10.009DOI Listing
October 2018
16 Reads

Extreme lateral interbody fusion (XLIF) as a treatment for acute spondylodiscitis: Leeds spinal unit experience.

J Clin Neurosci 2019 Jan 6;59:213-217. Epub 2018 Nov 6.

Department of Neurosurgery, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK. Electronic address:

Extreme lateral interbody fusion (XLIF) is a minimally invasive lateral trans-psoas approach to the thoraco-lumbar spine that enables surgical debridement of the disc space and facilitates fusion. Previous reports are limited to case series, which have no outcomes measuring improvement. We aim to determine the effectiveness of XLIF in the treatment of patients with spondylodiscitis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09675868183021
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http://dx.doi.org/10.1016/j.jocn.2018.10.063DOI Listing
January 2019
12 Reads

Vertebral Osteomyelitis, Discitis, and Epidural Abscess: A Rare Complication of Endocarditis.

J Investig Med High Impact Case Rep 2018 Jan-Dec;6:2324709618807504. Epub 2018 Oct 28.

State University of New York Upstate Medical University, Syracuse, NY, USA.

In this article, we report the case of a 75-year-old man who was presented with new low back pain for 2 weeks. His past history was significant for severe aortic stenosis necessitating bioprosthetic aortic valve placement 4 years ago, hypertension, and coronary artery disease. His physical examination was positive for point tenderness over the lower lumbar spine. Read More

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http://dx.doi.org/10.1177/2324709618807504DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207954PMC
October 2018
40 Reads

Pattern-Based Interpretation Criteria for F-Fludeoxyglucose Positron Emission Tomography/Computed Tomography in the Assessment of Pyogenic Spine Infection.

Can Assoc Radiol J 2018 11;69(4):397-408

Departments of Medicine, and Microbiology, Immunology and Infectious Diseases, University of Calgary, Foothills Medical Centre, Calgary, Alberta, Canada.

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https://linkinghub.elsevier.com/retrieve/pii/S08465371183011
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http://dx.doi.org/10.1016/j.carj.2018.06.004DOI Listing
November 2018
24 Reads

Infected abdominal aortic aneurysm graft complicated by lumbar discitis.

BJR Case Rep 2018 9;4(2):20170101. Epub 2018 Feb 9.

Department of Radiology, Poole Hospital NHS Foundation Trust, Poole, UK.

We present the case of a 68-year-old male, who underwent open abdominal aortic graft in August 2016 owing to a ruptured large infrarenal abdominal aneurysm. He subsequently presented 6 months later with back pain, general weakness, reduced mobility and cachexia. He underwent CT, MRI and fluorodeoxyglucose (PDG)-PET spinal imaging, all modalities showing signs of aortic graft infection complicated by L4/5 discitis. Read More

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http://www.birpublications.org/doi/10.1259/bjrcr.20170101
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http://dx.doi.org/10.1259/bjrcr.20170101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159111PMC
February 2018
15 Reads

Diagnostic Quandary: Agbeni Vertebral Osteomyelitis and Epidural Abscess.

Case Rep Orthop 2018 20;2018:1091932. Epub 2018 Sep 20.

Rockford Pain Center, Rockford, USA.

Salmonella vertebral discitis/osteomyelitis is a rare manifestation of Salmonella infection. Here, we report a case of a 54-year-old Caucasian male who presented with five weeks of progressively worsening bilateral low back, buttock, and lower extremity pain following an 8-foot fall onto concrete from a ladder. Initial workup following the fall included hip X-ray and MRI of the lumbar spine and revealed only mild lumbar facet arthropathy and moderate left neural foraminal stenosis at L3-L4 without any concomitant hip or spine fracture. Read More

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https://www.hindawi.com/journals/crior/2018/1091932/
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http://dx.doi.org/10.1155/2018/1091932DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6171215PMC
September 2018
17 Reads

Claw sign: MRI of degenerative disc disease.

J Med Imaging Radiat Oncol 2018 Oct;62 Suppl 1:125

Department of Radiology, Concord Repatriation General Hospital, Concord, New South Wales, Australia.

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http://doi.wiley.com/10.1111/1754-9485.06_12786
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http://dx.doi.org/10.1111/1754-9485.06_12786DOI Listing
October 2018
5 Reads

Transforaminal Interbody Debridement and Fusion to Manage Postdiscectomy Discitis in Lumbar Spine.

World Neurosurg 2019 Jan 9;121:e755-e760. Epub 2018 Oct 9.

Department of Orthopaedic Surgery, Spine Section, Bone and Joint Research Center, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan.

Background: Traditionally, nonoperative management with long-term antibiotics and bed rest has been recommended as first-line treatment for most patients with postoperative discitis. A recent trend in treatment under a limited range of indications has been to perform surgical débridement followed by long-term administration of antibiotics. This descriptive study investigated whether transforaminal lumbar interbody débridement and fusion (TLIDF) combined with intravenous antibiotics is appropriate to manage postdiscectomy discitis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183226
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http://dx.doi.org/10.1016/j.wneu.2018.09.211DOI Listing
January 2019
6 Reads

Worldwide research productivity in the field of back pain: A bibliometric analysis.

Authors:
Bin Wang Peng Zhao

Medicine (Baltimore) 2018 Oct;97(40):e11566

Department of Cardiovascular, The First Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, China.

Background: This study aimed to show the world research productivity in the field of back pain and to help researchers follow the scientific development and promote the cooperation in this field.

Methods: Web of Science (WoS) database was searched from 1995 to 2016 without other restrictions. The keywords were as follows: "lumbar NEAR pain," "back pain," "dorsalgia," "backache," "lumbago," "back NEAR disorder," and "discitis. Read More

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http://dx.doi.org/10.1097/MD.0000000000011566DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200510PMC
October 2018
20 Reads

Spinal Coccidioidomycosis: MR Imaging Findings in 41 Patients.

AJNR Am J Neuroradiol 2018 Nov 4;39(11):2148-2153. Epub 2018 Oct 4.

Department of Radiology (J.R.), Mayo Clinic College of Medicine, Phoenix, Arizona.

Background And Purpose: is a dimorphic fungus endemic to the Southwest United States and Mexico, and at our institution, it is a relatively common pathogen presenting with a broad spectrum of associated spine diseases. We describe the various spinal manifestations resulting from coccidioidal infection and provide MR imaging examples from 41 pathologically proved cases.

Materials And Methods: Retrospective electronic medical record and PACS searches were performed. Read More

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http://www.ajnr.org/lookup/doi/10.3174/ajnr.A5818
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http://dx.doi.org/10.3174/ajnr.A5818DOI Listing
November 2018
5 Reads

Management of Postoperative Discitis: A Review of 31 Patients.

Asian J Neurosurg 2018 Jul-Sep;13(3):703-706

Department of Anesthesiology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Background: The aim of the study was to retrospectively evaluate the outcome of medical management of postoperative discitis (POD).

Materials And Methods: A total of 31 patients treated for POD were included in the study. Clinical, radiological, and laboratory data of all patients were collected and evaluated. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_233_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159077PMC
October 2018
1 Read

Evaluation and Management of Pyogenic and Tubercular Spine Infections.

Curr Rev Musculoskelet Med 2018 Dec;11(4):643-652

The Rothman Institute, 925 Chestnut St, 5th Floor, Philadelphia, PA, 19107, USA.

Purpose Of Review: To review the most current diagnostic tools and treatment options for pyogenic and tubercular spine infection.

Recent Findings: Recent studies have focused on risk factors for failed nonoperative management in order to improve patient selection. Also, spine instrumentation and different grafting options have been safely utilized in the setting of an active infection without increasing the incidence of reoccurrence. Read More

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http://dx.doi.org/10.1007/s12178-018-9523-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220010PMC
December 2018
4 Reads

Appropriate duration of post-surgical intravenous antibiotic therapy for pyogenic spondylodiscitis.

BMC Infect Dis 2018 Sep 17;18(1):468. Epub 2018 Sep 17.

Department of Orthopaedic Surgery, Chang Gung Memorial Hospital in Keelung, Chang Gung University, 7F, No.222, Maijin Road, Keelung, 20401, Taiwan.

Background: Most guidelines recommend 6 to 12 weeks of parenteral antibiotic treatment for pyogenic spondylodiscitis. When surgical debridement is adequately performed, further intravenous antibiotic treatment duration can be reduced than that of conservative treatment alone theoretically. However, the appropriate duration of post-surgical parenteral antibiotic treatment is still unknown. Read More

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http://dx.doi.org/10.1186/s12879-018-3377-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6142394PMC
September 2018
3 Reads

Thoracic Discitis in Ankylosing Spondylitis.

Cureus 2018 Jul 12;10(7):e2972. Epub 2018 Jul 12.

Rheumatology, University of Kansas School of Medicine - Wichita, Wichita, USA.

Chronic ankylosing spondylitis can lead to several rare long-term complications including cauda equina syndrome and inflammatory discitis especially without treatment. These complications are uncommon, but there is evidence that they can be treated with anti-tumor necrosis factor (TNF) inhibitors. We present a case of a 52-year-old male with a 30-year history of undiagnosed ankylosing spondylitis with cauda equina syndrome on initial outpatient presentation with a negative lumbosacral magnetic resonance imaging (MRI). Read More

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http://dx.doi.org/10.7759/cureus.2972DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136886PMC
July 2018
4 Reads

An Uncommon Case of Pyogenic Spondylodiscitis Caused by .

Case Rep Orthop 2018 14;2018:3127613. Epub 2018 Aug 14.

Department of Clinical Laboratory Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.

An 81-year-old man presented with severe back pain. Magnetic resonance imaging detected L5/S discitis without signs of epidural abscess. Punctures of the disc revealed that the causative organism was , which is part of the normal flora of the oral cavity and an uncommon causative pathogen of spondylodiscitis. Read More

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http://dx.doi.org/10.1155/2018/3127613DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6112214PMC
August 2018
3 Reads

A prospective study of screening for musculoskeletal pathology in the child with a limp or pseudoparalysis using erythrocyte sedimentation rate, C-reactive protein and MRI.

J Child Orthop 2018 Aug;12(4):398-405

Department of Orthopaedic Surgery, Peterborough City Hospital, Bretton Gate, Peterborough, UK.

Purpose: To determine if the detection of musculoskeletal pathology in children with a limp or acute limb disuse can be optimized by screening with blood tests for raised inflammatory markers, followed by MRI.

Methods: This was a prospective observational study. Entry criteria were children (0 to 16 years of age) presenting to our emergency department with a non-traumatic limp or pseudoparalysis of a limb, and no abnormality on plain radiographs. Read More

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http://dx.doi.org/10.1302/1863-2548.12.180004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6090194PMC
August 2018
3 Reads

Degenerative Disc Disease Mimicking Spondylodiscitis with Bilateral Psoas Abscesses.

World Neurosurg 2018 Dec 24;120:43-46. Epub 2018 Aug 24.

Neuroradiology, Service of Diagnostic and Interventional Radiology, Hôpital de Sion, Centre Hospitalier Universitaire Vaudois, Sion, Switzerland.

Background: Sequestered disc fragments may present as a lesion with peripheral enhancement on magnetic resonance imaging. When located in the psoas muscle compartment, this finding could mimic an abscess.

Case Description: We describe a case of a 52-year-old man who returned from Togo after 2 years of living in precarious conditions. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183189
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http://dx.doi.org/10.1016/j.wneu.2018.08.116DOI Listing
December 2018
24 Reads

Pyogenic Spondylodiscitis of the Thoracic Spine: Outcome of 1-Stage Posterior Versus 2-Stage Posterior and Anterior Spinal Reconstruction in Adults.

World Neurosurg 2018 Dec 23;120:e297-e303. Epub 2018 Aug 23.

Department of Orthopaedic, Trauma and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany.

Objective: The aim of this study was to compare the clinical, radiologic, and functional outcomes of a 1-stage posterior treatment versus a 2-stage posterior-anterior treatment in patients with pyogenic thoracic spondylodiscitis.

Methods: A 1-stage posterior debridement, stabilization, and fusion with titanium-coated polyetheretherketone (PEEK) or mesh cage through a dorsolateral approach was performed in group A. A 2-stage procedure with initial posterior stabilization and debridement and second-stage fusion with a PEEK cage or mesh cage was performed with an anterior approach in group B. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.08.055DOI Listing
December 2018
2 Reads

Recent Increase in the Rate of Spinal Infections May be Related to Growing Substance-use Disorder in the State of Washington: Wide Population-based Analysis of the Comprehensive Hospital Abstract Reporting System (CHARS) Database.

Spine (Phila Pa 1976) 2019 Feb;44(4):291-297

Swedish Neuroscience Institute, Seattle, WA.

Study Design: Epidemiological study.

Objective: The aim of this study was to evaluate trends in the incidence of spinal infections (SI) and the possible role of substance use disorder (SUD) as a key associated factor.

Summary Of Background Data: SI pose major diagnostic and therapeutic challenge in developed countries, resulting in substantial morbidity and mortality. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002819DOI Listing
February 2019
1 Read

Fungal Lumbosacral Osteomyelitis After Robotic-Assisted Laparoscopic Sacrocolpopexy.

Female Pelvic Med Reconstr Surg 2018 Nov/Dec;24(6):e46-e48

From the Department of Obstetrics and Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, CA.

Sacral osteomyelitis is a rare complication after robotic sacrocolpopexy, with previous reports of enteric and skin flora as inciting organisms. We report a patient who presented with severe low back pain and fever 6 weeks after a robotic sacrocolpopexy, who was subsequently diagnosed as having lumbosacral discitis and osteomyelitis with thoracic intervertebral extension. Empiric antibiotic therapy was initially administered. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000612DOI Listing
April 2019
1 Read

[A woman with spontaneous neck pain].

Ned Tijdschr Geneeskd 2018 May 22;161. Epub 2018 May 22.

Medisch Spectrum Twente, afd. Neurologie, Enschede.

A 42-year-old woman presented with neck pain without previous trauma. On suspicion of spondylodiscitis, an MRI of the cervical spine was made. This MRI and an additional CT showed calcific tendinitis of the longus colli muscle, a self-limiting disorder. Read More

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May 2018
1 Read