Keywords:
Musculoskeletal spine, Interventional non-vascular, Biopsy, Infection
Authors:
A. R. M. Souza, M. B. Rodrigues, D. T. Amaral, M. F. Correa, C. F. A. Cavalcanti, C. O. Kurimori, R. Y. Fernandes, P. V. P. Helito, L. C. Zattar-Ramos, R. Leao; Sao Paulo/BR
DOI:
10.1594/essr2016/P-0121
Purpose
Vertebral spondylodiscitis is a rare but serious disease that can mimic other conditions.
Diabetes mellitus,
spinal intervention and the use of immunosuppressive drugs in the management of a variety of conditions are risk factors for the development of these infections.
A conclusive diagnosis of spondylodiscitis and prediction of the micro-organism can be difficult to establish based on clinical features and spinal imaging alone,
particularly if the presentation is confounded by other medical conditions like malignancy,
for example.
Percutaneous spinal biopsy under CT guidance is a minimally invasive method that is increasingly requested to help make a definitive diagnosis of spinal infection,
exclude other diseases,
thereby guiding the correct treatment to have an affect on prognosis.
This study aims to evaluate the rate of positive cultures from CT-guided percutaneous biopsy in suspected cases of spondylodiscitis.
Another purpose of the study is to evaluate the influence of previous use of antibiotics in the rate of positive cultures.