The Diagnosis and Management of Pediatric Spine Infections.
ct-guided biopsy
epidural abscess
spondylodiscitis
tubercular osteomyelitis
vertebral osteomyelitis
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
accepted:
29
07
2021
entrez:
4
8
2021
pubmed:
5
8
2021
medline:
5
8
2021
Statut:
epublish
Résumé
The management of pediatric spine infections requires a multidisciplinary approach that includes orthopedic surgeons, infectious disease specialists, interventional radiologists, and others. The prevalence of the disease has increased in frequency, virulence, and degree of soft tissue involvement over the past several years; there has also been a resurgence of some types of infections, such as tuberculosis, fungal, and viral pathogens. The diagnosis can often be reached with a detailed history, physical examination, laboratory tests, and imaging studies. Pathologies mimicking infection require a more invasive approach for diagnosis, including core or open biopsy. The treatment of discitis, spondylodiscitis, vertebral osteomyelitis, spinal epidural, and intramedullary abscesses in children is at times complex, and although many infections can be treated non-surgically with antibiotic therapy, some more extensive infections require surgical management. A timely diagnosis is important as it allows the initiation of the appropriate antimicrobial therapy and would decrease the complexity of the subsequent surgical intervention.
Identifiants
pubmed: 34345570
doi: 10.7759/cureus.16748
pmc: PMC8323075
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
e16748Informations de copyright
Copyright © 2021, Saleh et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
J Am Acad Orthop Surg. 2003 Jul-Aug;11(4):248-59
pubmed: 12889863
Neuroradiol J. 2015 Oct;28(5):504-7
pubmed: 26459202
J Neurosurg Pediatr. 2017 Oct;20(4):388-392
pubmed: 28799857
Clin Pediatr (Phila). 1974 Mar;13(3):247-8 passim
pubmed: 4273620
J Pediatr Orthop. 1996 Jul-Aug;16(4):540-4
pubmed: 8784715
Childs Nerv Syst. 2013 Jan;29(1):105-17
pubmed: 23053357
Clin Orthop Relat Res. 2007 Jul;460:78-85
pubmed: 17620809
Bone Joint J. 2018 Apr 1;100-B(4):542-548
pubmed: 29629576
Indian J Orthop. 2012 Mar;46(2):150-8
pubmed: 22448052
Pediatrics. 2013 Dec;132(6):e1680-5
pubmed: 24190678
J Pediatr Orthop. 1988 Jul-Aug;8(4):442-4
pubmed: 3392196
Clin Microbiol Rev. 2015 Jan;28(1):54-79
pubmed: 25567222
J Bone Joint Surg Br. 2011 Aug;93(8):1122-5
pubmed: 21768640
Int J Mol Sci. 2016 Apr 09;17(4):539
pubmed: 27070599
J Neurosurg Pediatr. 2018 Aug;22(2):189-194
pubmed: 29799351
J Pediatr Orthop B. 2012 May;21(3):264-8
pubmed: 22015583
Case Rep Pediatr. 2018 Apr 1;2018:1679306
pubmed: 29808150
Orthop Traumatol Surg Res. 2016 Oct;102(6):801-5
pubmed: 27480292
Pediatrics. 2019 Jul;144(1):
pubmed: 31217310
J Pediatr Orthop. 2017 Jan;37(1):e58-e61
pubmed: 26368857
Int Orthop. 2012 Feb;36(2):387-95
pubmed: 22033611
J Pediatr. 2018 Oct;201:274-280.e12
pubmed: 30041935
Childs Nerv Syst. 2020 May;36(5):1049-1054
pubmed: 31848723
Pediatr Radiol. 2013 Aug;43(8):991-1000
pubmed: 23455308
Childs Nerv Syst. 2018 Oct;34(10):1937-1945
pubmed: 30006692
Int Orthop. 2009 Oct;33(5):1385-90
pubmed: 19340427
Clin Infect Dis. 2012 Nov 15;55(10):1338-51
pubmed: 22911646
J Pediatr Orthop. 2016 Apr-May;36(3):305-9
pubmed: 26296219
J Pediatr Orthop. 1997 Jul-Aug;17(4):470-7
pubmed: 9364386
Childs Nerv Syst. 2016 Dec;32(12):2285-2286
pubmed: 27644415
Semin Ultrasound CT MR. 2018 Dec;39(6):570-586
pubmed: 30527522
J Am Acad Orthop Surg Glob Res Rev. 2019 Mar 05;3(3):e066
pubmed: 31157318
J Pediatr Orthop. 2002 May-Jun;22(3):321-8
pubmed: 11961447
Neurosurg Focus. 2019 Jan 1;46(1):E12
pubmed: 30611161
Eur J Pediatr Surg. 2019 Jun;29(3):229-238
pubmed: 29857348
Skeletal Radiol. 2018 Oct;47(10):1383-1391
pubmed: 29663026
J Pediatr Orthop. 2015 Jun;35(4):379-84
pubmed: 25171676
J Orthop. 2016 Jun 24;13(4):254-8
pubmed: 27408498