Open AccessSpondylodiscitis: early diagnosis and management of patients
Author(s) -
Irina F. Khafizova,
Хафизова Ирина Фаритовна,
Н А Попова,
Попова Наталия Анатольевна,
A G Panyukhov,
Панюхов Александр Геннадьевич,
F R Gumerov,
Гумеров Фарид Робертович
Publication year - 2016
Publication title -
kazanskij medicinskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2587-9359
pISSN - 0368-4814
DOI - 10.17750/kmj2016-988
Subject(s) - spondylodiscitis , medicine , back pain , magnetic resonance imaging , lumbar , surgery , spondylitis , discitis , population , disease , radiology , pathology , alternative medicine , environmental health , ankylosing spondylitis
Spondylodiscitis is an inflammatory disease of vertebral structures involving intervertebral discs and adjacent vertebral bodies and joints. The main complaint is back pain that is known to be the most prevalent complaint in the general population. Diagnosis of spondylodiscitis is difcult and is often characterized by delay from the debut of symptoms. It is due to the rarity of the disease and non-specificity of its symptoms. The aim was to determine the basic principles of early diagnosis of pyogenic spondylodiscitis. In the present study performed in Kazan City clinical hospital №7, a retrospective analysis of 7 cases of spondylodiscitis during the period from may 2014 to September 2016 was performed. The diagnosis was maid with the use of neuroimaging. In most cases, the lumbar spine was affected. The most common presentation was pain syndrome, moderate to severe. Delay in making a diagnosis from the beginning of the disease was 86.2 days. After antibiotic therapy all patients noted improvement. The study demonstrated that early diagnosis of spondylodiscitis remains a challenge and at the same time requires timely adequate treatment with antibacterial agents. Magnetic resonance imaging is a method of choice for making a diagnosis.