ID

Vertebral Osteomyelitis

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Vertebral Osteomyelitis

  • Epidemiology
  1. Most common type of hematogenous Osteomyelitis
  • Pathophysiology
  1. Polymicrobial in 5-10% of patients
  • Risk Factors
  1. Extraspinal infection site
  2. Urinary tract instrumentation
  3. Indwelling vascular catheter
  4. Hemodialysis
  5. Intravenous Drug Abuse
  6. Cancer
  7. Diabetes Mellitus
  • Causes
  1. Common causes
    1. Hematogenous spread
    2. Surgery
  2. Other causes
    1. Trauma
    2. Adjacent infection spread
    3. Spine surgery complication
  • Symptoms
  1. Severe pain in back or neck
  2. Overlying Muscle tenderness
  3. Limited spine range of motion
  4. Fever may be present
  • Imaging
  1. MRI Spine
  • Management
  1. Antibiotic course for 6 weeks
  2. See Acute Osteomyelitis Management