Management of Pyogenic Spinal Infection, review of literature

Ahmed Aljawadi; Noman Jahangir; Ana Jeelani; Zak Ferguson; Noman Niazi; Frances Arnall; Anand Pillai

doi:10.1016/j.jor.2019.08.014

Management of Pyogenic Spinal Infection, review of literature

J Orthop. 2019 Aug 12;16(6):508-512. doi: 10.1016/j.jor.2019.08.014. eCollection 2019 Nov-Dec.

Authors

Ahmed Aljawadi¹, Noman Jahangir¹, Ana Jeelani¹, Zak Ferguson¹, Noman Niazi¹, Frances Arnall², Anand Pillai¹

Affiliations

¹ Trauma and Orthopaedics, Manchester Foundation Trust, Southmoor Rd, Wythenshawe, Manchester, M23 9LT, UK.
² Fellow Higher Education Academy, MSc Trauma & Orthopaedics Academic Module lead, School of Health Sciences, Allerton Building C711, University of Salford, Fredrick Road Campus, M6 6PU, UK.

Abstract

Objective: To evaluate the available evidence for the management of Pyogenic Spinal Infection (PSI).

Methods and results: A comprehensive search for the relevant literature published between 1990 and 2018 to evaluate the management of PSI was conducted.Nonoperative management of carefully selected patients for an adequate duration of antibiotics can result in satisfactory outcomes with low recurrence rate. When there is an indication for surgery, posterior approach, with or without debridement of infected tissue reported to be associated with good outcomes.

Conclusion: Studies with larger sample sizes and longer duration of follow up are recommended to formulate more comprehensive evidence.

Keywords: Discitis; Infection; Management; Spine; Spondylitis; Surgery.

Publication types

Review