Spondylodiscitis: Surgical Treatment And Indications

  • Tetsios Tetsios
  • Vlamis J
Keywords: Spondylodiskitis, treatment


Spondylodiscitis is a serious infectious disease affecting the spine, causing inflammation of the vertebral bodies and intervertebral discs. It is caused by a bacterial infection and can lead to significant disability if left untreated. Initial management of the disease is conservative. Aiming to evaluate the indications and the methods of surgical management in patients with spondylodiscitis, a literature review was conducted searching the keywords: “spondylodiscitis” AND (“surgical treatment” OR ‘”surgical management” OR “indications”) on Pubmed database. The search included only prospective studies. Initially, 308 studies were identified after primary search. At last, 26 studies remained for analysis. The study concluded that indications for surgical treatment include neurological deficits, spinal instability, abscess formation and failure of conservative treatment. Surgical management includes debridement of the infected tissues and spinal fusion with instrumentation, through an anterior, a posterior or a combined approach. The choice of material for spinal support and enhancement of spinal fusion does not influence the clinical result.


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Author Biographies

Tetsios Tetsios

Postgraduate Training Program, 3rd Department of Orthopaedic Surgery,
National and Kapodistrian University of Athens, KAT General Hospital of Athens, Greece.

Vlamis J

3rd Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, KAT Hospital, Athens, Greece.


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