SciELO - Scientific Electronic Library Online

 
vol.14 issue4COMPARISON OF THE EFFECTIVENESS OF RADICULAR BLOCKING TECHNIQUES IN THE TREATMENT OF LUMBAR DISK HERNIATOMOGRAPHIC ANALYSIS OF T-1 VERTEBRA TO INSERT LAMINAR SCREWS IN CHILDREN FROM 0 TO 12 YEARS author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

Share


Coluna/Columna

Print version ISSN 1808-1851On-line version ISSN 2177-014X

Abstract

ORSO, Vinicius; SERDEIRA, Afrane; ZIEGLER, Marcus  and  ZARDO, Erasmo. DIAGNOSTIC DIFFICULTIES IN BACTERIAL SPONDYLODISCITIS. Coluna/Columna [online]. 2015, vol.14, n.4, pp.299-303. ISSN 2177-014X.  https://doi.org/10.1590/S1808-185120151404132593.

Objective

: To analyze aspects related to the diagnostic difficulty in patients with bacterial spondylodiscitis.

Methods

: Cross-sectional observational study with retrospective data collected in the period from March 2004 to January 2014.Twenty-one patients diagnosed with bacterial spondylodiscitis were analyzed.

Results

: Women were the most affected, as well as older individuals. Pain in the affected region was the initial symptom in 52% of patients, and 45.5% of the patients had low back pain, and those with dorsal discitis had back pain as the main complaint; the patients with thoracolumbar discitis had pain in that region, and only one patient had sacroiliac discitis. The average time between onset of symptoms and treatment was five months. The lumbar segment was the most affected with 11 cases (52%), followed by thoracolumbar in 24%, dorsal in 19% of cases and a case in the sacroiliac segment. Only seven patients had fever. Pain in the affected level was coincidentally the most common symptom.

Conclusions

: Early diagnosis of bacterial spondylodiscitis remains a challenge due to the nonspecific signs and symptoms reported by the patient and the wide variability of laboratory results and imaging. The basis for early diagnosis remains the clinical suspicion at the time of initial treatment.

Keywords : Discitis; Spine; Intervertebral disc; Infection.

        · abstract in Portuguese | Spanish     · text in English     · English ( pdf )