Comparative analysis of criteria for identification and hospitalization of patients with spondylodiscitis (literature review)
https://doi.org/10.56618/2071-2693_2024_16_2_204
EDN: HUYPRU
Abstract
The frequency of spondylodiscitis is 1.0–2.5 cases per 100 000 population, accounting for 4–8 % of the total structure of osteomyelitis.
In some studies, the overall incidence varies from 2.2 to 11.3 cases per 100 000 and above.
The aim of the study – to show the significance of the revision of clinical recommendations and to identify weak links at the pre-hospital stage.
A comparative analysis of the relevance of scientific articles was carried out.
The methods of detecting spodilodiscite are very ambiguous, today they require the creation of a single protocol.
Diagnosis of spondylodiscitis at the prehospital stage is not effective. In most patients, the disease is detected in the advanced stage. To improve the effectiveness of medical care and reduce neurological deficit in this category of patients, it is necessary to revise clinical recommendations with the creation of a single protocol for inflammatory diseases of the spine.
About the Authors
R. V. RybasRussian Federation
Roman V. Rybas – Neurosurgeon, Head at the Neurosurgical Department, Penza Regional Clinical Hospital named after N. N. Burdenko; assistant at the Department of Neurosurgery
8A Stasova street, Penza, 440060
G. G. Shaginyan
Russian Federation
Guia G. Shaginyan – Dr. of Sci. (Med.), Academician of the Russian Academy of Natural Sciences, Academician of the Russian Academy of Medical and Technical Sciences, Head at the Department of Neurosurgery; Head at the Department of Combined and Combined Injuries, Professor at the Department of Neurosurgery
8A Stasova street, Penza, 440060
2/1 Barrikadnaya street 1, Moscow, 125993
M. D. Maglaperidze
Russian Federation
Mikhail D. Maglaperidze – Neurosurgeon, F. I. Inozemtsev City Clinical Hospital; Assistant at the Department of Combined and Combined Injuries
2/1 Barrikadnaya street 1, Moscow, 125993
G. S. Ariyants
Russian Federation
Gennady S. Ariyants – Laboratory Assistant at the Department of Combined and Combined Injuries
2/1 Barrikadnaya street 1, Moscow, 125993
References
1. Mushkin A. Yu., Vishnevsky A. A., Peretsmanas E. O., Bazarov A. Yu., Basankin I. V. Infectious lesions of the spine: draft national clinical guidelines. Hir. Pozvonoc. 2019;16(4):63–76. (In Russ.)]. Doi: http://doi.org/10.14531/ss2019.4.63-76.]
2. Rutges J. P., Kempen D. H., van Dijk M., Oner F. C. Outcome of conservative and surgical treatment of pyogenic spondylodiscitis: a systematic literature review. Eur Spine J. 2016;25(4):983–999. Doi: 10.1007/s00586015-4318-y. PMID: 26585975.
3. Taylor D. G., Buchholz A. L., Sure D. R. Presentation and outcomes after medical and surgical treatment versus medical treatment alone of spontaneous infectious spondylodiscitis: a systematic literature review and meta-analysis. Glob Spine J. 2018;(8):49S–58S. Doi: 10.1177/2192568218799058.
4. Karthik Madhava , Lee Onn Chieng, Valerie L. Armstrong , Michael Y. Wang. Spondylodiscitis in end-stage renal disease: a systematic review Affiliations expand. J Neurosurg Spine. 2019. Feb 15:1–9. Online ahead of print. Doi: 10.3171/2018.9.SPINE18824. PMID: 30771765.
5. Herren C., Jung N., Pishnamaz M., Breuninger M., Siewe J., Sobottke R. Spondylodiscitis: diagnosis and treatment options—a systematic review Dtsch Arztebl Int. 2017;(114):875–882.Doi: http://doi.org:10.3238/arztebl.2017.0875
6. Bazarov A. Yu., Sergeev K. S., Faryon A. O., Paskov R. V., Lebedev I. A. Hospital mortality in hematogenous osteomyelitis of the spine. Spinal surgery. 2021;18(3):86–93. (In Russ.)]. Doi: http://doi.org/10.14531/ss2021.3.86-93.
7. Lacasse M., Derolez S., Bonnet E., Amelot A., Bouyer B., Carlier R., Coiffier G., Cottier J. P., Dinh A., Maldonado I., Paycha F., Ziza J M., Bemer P., Bernard L. Review group. 2022 SPILF – Clinical Practice guidelines for the diagnosis and treatment of disco-vertebral infection in adults. Practice Guideline Infect Dis Now. 2023; 53(3):104647. Doi: 10.1016/j.idnow.2023.01.007.
8. Marchionni E., Marconi L., Ruinato D., Zamparini E., Gasbarrini A., Viale P. Spondylodiscitis: is really all well defined?. Eur Rev Med Pharmacol Sci. 2019; 23(2 Suppl):201–209. Doi: 10.26355/eurrev_201904_17494.
9. Aljawadi A., Jahangir N., Jeelani A., Ferguson Z., Niazi N., Arnall F., Pillai A. Management of Pyogenic Spinal Infection, review of literature. J Orthop. 2019;16(6):508–512. Doi: 10.1016/j.jor.2019.08.014.
10. Gregori F., Grasso G., Iaiani G., Marotta N., Torregrossa F., Landi A. Treatment algorithm for spontaneous spinal infections: A review of the literature. J Craniovertebr Junction Spine. 2019;10(1):3. Doi: 10.4103/jcvjs.JCVJS_115_18.
11. Bazarov A. Yu., Sergeev K. S., Osintsev V. M., Lebedev I. A., Barinov A. L., Faryon A. O., Katrechko G. A. Secondary spondylogenic epidural abscess. Voprosy Neirokhirurgii: Zhurnal imeni N. N. Burdenko. 2019;83(1):75–82 (In Russ.)]. Doi: 10.17116/neiro20198301175.
12. Maamari J., Tande A. J., Diehn F., Tai D. B. G., Berbari E. F. J Diagnosis of vertebral osteomyelitis. Bone Jt Infect. 2022;7(1):23–32. Doi: 10.5194/jbji-7-23-2022.
13. Cieza A., Causey K., Kamenov K., Hanson S. W., Chatterji S., Vos T. Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2021;396(10267):2006–2017. Doi: 10.1016/S0140-6736(20)32340-0. EPMID: 33275908. PMCID: PMC7811204.
14. Pola E., Taccari F., Autore G., Giovannenze F., Pambianco V., Cauda R., Maccauro G., Fantoni M. Multidisciplinary management of pyogenic spondylodiscitis: epidemiological and clinical features, prognostic factors and long-term outcomes in 207 patients. Eur Spine J. 2018;27(Suppl 2):229–236. Doi: 10.1007/s00586-0185598-9. PMID: 29667140.
15. Waheed G., Soliman M. A. R., Ali A. M., Aly M. H. Spontaneous spondylodiscitis: review, incidence, management, and clinical outcome in 44 patients. Neurosurg Focus. 2019;(46):E10. Doi: 10.3171/2018.10.FOCUS18463.
16. Lener S., Hartmann S., Barbagallo G. M. V., Certo F., Thomé C., Tschugg A. Management of spinal infection: a review of the literature. Acta Neurochir (Wien). 2018;160(3):487–496. Doi: 10.1007/s00701-018-3467-2 PMID: 29356895. PMCID: PMC5807463.
17. Treglia G., Pascale M., Lazzeri E., van der Bruggen W., Delgado Bolton R. C., Glaudemans A. W. J. M. Diagnostic performance of 18F-FDG PET/CT in patients with spinal infection: a systematic review and a bivariate meta-analysis. Eur J Nucl Med Mol Imaging. 2020;47(5):1287–1301. 10.1007/s00259-019-04571-6 PMID: 31729539.
Review
For citations:
Rybas R.V., Shaginyan G.G., Maglaperidze M.D., Ariyants G.S. Comparative analysis of criteria for identification and hospitalization of patients with spondylodiscitis (literature review). Russian Neurosurgical Journal named after Professor A. L. Polenov. 2024;16(2):204-210. (In Russ.) https://doi.org/10.56618/2071-2693_2024_16_2_204. EDN: HUYPRU