Brazilian Neurosurgery (Jun 2016)

Spondylodiscitis with Extensive Spine Involvement—Case Report

  • Rodrigo Moreira Faleiro,
  • Marcos Antônio Sales,
  • Luiz Alberto Otoni Garcia,
  • Vítor Vieira de Souza Moraes,
  • Renato Rinco Fontoura,
  • Bernardo Pinto Coelho Keuffer Mendonça

DOI
https://doi.org/10.1055/s-0036-1584202
Journal volume & issue
Vol. 37, no. 03
pp. 267 – 274

Abstract

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Spondylodiscitis consists of an inflammatory process of infectious origin that affects primarily the intervertebral disc and spreads to the adjacent vertebral bodies, often evolving into osteomyelitis, with consequent associated neurological damage. The diagnosis is often delayed, with an average of 2 to 6 months between the appearance of the first symptoms and the confirmation of the disease. Therefore, the laboratorial and imaging exams play an important role in the diagnosis of spondylodiscitis, as well as in the orientation for the treatment to be followed (conservative or surgical). We report a case of extensive involvement of the spine and discuss about the epidemiology of the disease, its diagnosis, and therapeutic principles.

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