Vertebral Osteomyelitis

Aka: Vertebral Osteomyelitis, Spinal Osteomyelitis

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II. Epidemiology

  1. Most common type of hematogenous Osteomyelitis

III. Pathophysiology

  1. Polymicrobial in 5-10% of patients

IV. 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

V. Causes

  1. Common causes
    1. Hematogenous spread
    2. Surgery
  2. Other causes
    1. Trauma
    2. Adjacent infection spread
    3. Spine Surgery complication

VI. Symptoms

  1. Severe pain in back or neck
  2. Overlying Muscle tenderness
  3. Limited spine range of motion
  4. Fever may be present

VII. Imaging

  1. MRI Spine

VIII. Management

  1. Antibiotic course for 6 weeks
  2. See Spinal Infection
  3. See Acute Osteomyelitis Management

IX. References

  1. Bury (2021) Am Fam Physician 104(4): 395-402 [PubMed]

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Related Studies

Ontology: Osteomyelitis of vertebra (C0452221)

Concepts Disease or Syndrome (T047)
ICD10 M46.2 , M46.20, M46.29
SnomedCT 203241002
Dutch spinale osteomyelitis, osteomyelitis; wervel, wervel; osteomyelitis, Osteomyelitis van wervel
French Ostéomyélite spinale
German spinale Osteomyelitis, Wirbelosteomyelitis
English VERTEBRAL OSTEOMYELITIS, vertebral osteomyelitis (diagnosis), vertebral osteomyelitis, Osteomyelitis of vertebra, site unspecified, Spinal osteomyelitis, Osteomyelitis of vertebra, Osteomyelitis of vertebra (disorder), osteomyelitis; vertebra, vertebra; osteomyelitis
Italian Osteomielite spinale
Portuguese Osteomielite espinhal
Spanish Osteomielitis espinal, osteomielitis vertebral (trastorno), osteomielitis vertebral
Japanese 脊椎骨髄炎, ｾｷﾂｲｺﾂｽﾞｲｴﾝ
Czech Osteomyelitida páteře
Korean 척추의 골수염
Hungarian Gerinc osteomyelitis
Derived from the NIH UMLS (Unified Medical Language System)

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