Noncontiguous Multifocal Spondylodiscitis in 3 Regions of the Spine.

IF 0.4 Q4 ORTHOPEDICS
Case Reports in Orthopedics Pub Date : 2022-11-26 eCollection Date: 2022-01-01 DOI:10.1155/2022/2091676
Fernando González González, Arturo Aguirre Madrid, Dizán Mendoza Pedroza, Abelardo Loya Solis, Fernando Hernández Aragon, Nadia Karina Portillo Ortiz, Edmundo Berumen Nafarrate
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引用次数: 0

Abstract

Spondylodiscitis is an uncommon infectious disease of the spine, usually presenting in 1 or 2 contiguous levels, associated with risk factors such as diabetes, intravenous drugs, corticosteroids, and invasive procedures. The most common presentation is pain with nonspecific systemic manifestations. Diagnosis relies on clinical suspicion, laboratories, and imaging studies. Urgent treatment is important due to the high morbid mortality associated with sepsis or a fulminant disease course. We report the case of a 39-year-old female diagnosed with noncontiguous multifocal spondylodiscitis, in the cervical, thoracic, and lumbar spine. The patient initially presented with back pain, inability to walk and severe neurological deficit in the upper and lower extremities, upon diagnosis broad-spectrum antibiotics were initiated. A staged surgical approach was performed in the 3 spine segments. During the 6 month follow-up, the patient presented walking with assistance, with the recovery of strength in the upper and lower extremities.

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脊柱3个部位的非连续性多灶性椎板炎。
脊柱椎间盘炎是一种罕见的脊柱感染性疾病,通常表现为1或2个连续水平,与糖尿病、静脉注射药物、皮质类固醇和侵入性手术等危险因素有关。最常见的表现是非特异性全身表现的疼痛。诊断依赖于临床怀疑、实验室和影像学检查。由于与败血症或暴发性病程相关的高发病率死亡率,紧急治疗是重要的。我们报告的情况下,39岁的女性诊断为非连续性多灶性脊柱炎,在颈椎,胸椎和腰椎。患者最初表现为背部疼痛,不能行走,上肢和下肢严重神经功能障碍,诊断后开始使用广谱抗生素。在3个脊柱节段进行分阶段手术入路。在6个月的随访中,患者出现辅助行走,上肢和下肢力量恢复。
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