Spondylodiscitis: Difference between revisions

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== Clinically Relevant Anatomy  ==
== Clinically Relevant Anatomy  ==


The intervertebral disc is located between adjacent superior and inferior vertebral bodies. It has a central nucleus pulposus, which surrounds the annulus fibrosis and cartilaginous endplates. When the intervertebral disc is axially loaded, most the weight will be absorbed by the nucleus pulposus while the annulus assists in diffusing compression forces, carried out on the nucleus. The cartilaginous endplates are located along the central osseous endplates of adjacent vertebral bodies, and overlie the superior and inferior margins of the nucleus pulposus.<ref name="7.">A.L. Baert et al., Imaging in percutaneous musculoskeletal interventions, Springer, 2009, 120p. Level of evidence: D</ref>
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A typical vertebra (vertebral body) is composed by the following parts:
<br>
 
*Body, the weight bearing part.
*Vertebral arch, which protects the spinal cord.&nbsp;&nbsp;
*Process spinosus
*Processes transverse, left and right.
*Articular processes, two superior and two inferior, that help to restrict the movements.<ref name="8.">V. Singh, General anatomy, Elsevier, 2008, 113p. Level of evidence:  D</ref>
 
<br>  


== Epidemiology /Etiology  ==
== Epidemiology /Etiology  ==

Revision as of 20:34, 25 April 2016

Welcome to Vrije Universiteit Brussel's Evidence-based Practice project. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Original Editors - Lynn Leemans

Top Contributors - Ine Wittevrongel, Bo Hellinckx, Lucinda hampton, Admin, Kim Jackson, 127.0.0.1, WikiSysop and Claire Knott  

Search Strategy[edit | edit source]

Keywords: Spondylodiscitis + Diagnosis / Therapy / Epidemiology / Rehabilitation / Rehabilitation / Examination / Symptoms / Characteristics / Clinical

Search engines: Pubmed Web of knowledge PEDro

Definition/Description[edit | edit source]

Spondylodiscitis can be defined as a primary infection (accompanied by destruction) of the intervertebral disc (discitis), with secondary infections of the vertebrae (spondylitis), starting at the endplates Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title. It can lead to osteomyelitis of the spinal column Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title. It has a high morbidity and mortality and is a rare but serious infection.Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title



Pathogens causing spondylodiscitis are staphylococci, Escheria coli and mycobacterium tuberculosis Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title.Spinal infections can be described aetiologically as pyogenic, granulomatous (tuberculous, brucellar, fungal) and parasitic. Pyogenic spinal infections include: spondylodiscitis, a term encompassing vertebral osteomyelitis, spondylitis and discitis[Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title[1].
 


Clinically Relevant Anatomy[edit | edit source]

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Epidemiology /Etiology[edit | edit source]

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Characteristics/Clinical Presentation[edit | edit source]

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Differential Diagnosis[edit | edit source]

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Diagnostic Procedures[edit | edit source]

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Outcome Measures[edit | edit source]

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Examination[edit | edit source]

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Medical Management[edit | edit source]

1. Conservative treatment:

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2. Surgery

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Physical Therapy Management[edit | edit source]

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Key Research[edit | edit source]

add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)

Resources
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  • Pubmed (VUB BIBLIO)
  • Web of Knowledge  
  • Pedro

Recent Related Research (from Pubmed)[edit | edit source]

see tutorial on Adding PubMed Feed

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References[edit | edit source]

see adding references tutorial.

  1. ↑ 16

 


 

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