Backbone osteomyelitis (spondylitis) is a serious infectious disease menacing to the patient’s life, requiring a complicated long-term treatment. Most often the causative agent is a golden staphylococcus.
Dorsodynia is the main clinical symptom of backbone osteomyelitis.
The disease usually begins acutely, with dorsodynia and high temperature. It can proceed, disguising as pleurisy, pneumonia, pyelonephritis, radiculitis.
Chronic osteomyelitis can independently develop or from the acute form. Radiculalgia, sub-febrile temperature, general satisfactory condition of the patient is typical for it. The acute period of the disease proceeds for 2-8 weeks.
Backbone osteomyelitis is treated with antibiotics, selecting them individually, within three-four weeks. Deintoxication and correction of immunity is carried out. The patient has to observe bed rest or semi-strict bed rest. Sometimes anesthesia, bracing of body with a corset is required.
As the diagnosis is often made with delay, on late terms a surgical treatment is required. It is prescribed if:
- suppurative focus is located in the body of vertebra or intervertebral disk;
- development of nervous depressions even if inflammatory process subsides;
- fistulas form of osteomyelitis (formation of opened passages on along which pus flows out);
- inefficiency of conservative treatment.
Opening and drainage of nidus or modern surgical techniques are carried out when operation through a small puncture in a skin with a local anesthesia is applied. Stabilizing surgeries are carried out with implantation of titanic structures. At effective treatment the affected vertebrae knit and there comes convalescence.