[Chronic recurrent multifocal osteomyelitis of the spine : Children and adolescent]

Orthopade. 2016 Jun;45(6):484-90. doi: 10.1007/s00132-016-3271-8.
[Article in German]

Abstract

Chronic non-bacterial osteomyelitis (CNO) in childhood and adolescence is a non-infectious autoinflammatory disease of the bone with partial involvement of adjacent joints and soft tissue. The etiology is unknown. The disease can occur singular or recurrent. Individual bones can be affected and multiple lesions can occur. Chronic recurrent multifocal osteomyelitis (CRMO) shows the whole picture of CNO. Accompanying but temporally independent of the bouts of osteomyelitis, some patients show manifestations in the skin, eyes, lungs and the gastrointestinal tract. The article gives an overview of the clinical manifestations, diagnostic procedures, and treatment options for CRMO involvement of the spine based on the current literature and our own cases.

Keywords: Differential diagnosis; Non bacterial osteomyelitis; Spinal deformity; Spinal diseases; Spondylodesis.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Anti-Inflammatory Agents / administration & dosage*
  • Child
  • Child, Preschool
  • Combined Modality Therapy / methods
  • Diagnosis, Differential
  • Evidence-Based Medicine
  • Female
  • Humans
  • Immobilization / methods*
  • Infant
  • Infant, Newborn
  • Male
  • Osteomyelitis / diagnosis*
  • Osteomyelitis / therapy*
  • Recurrence
  • Spinal Diseases / diagnosis*
  • Spinal Diseases / therapy*
  • Treatment Outcome

Substances

  • Anti-Inflammatory Agents

Supplementary concepts

  • Chronic recurrent multifocal osteomyelitis