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Spondylodiszitis und epiduraler Abszess

CLINICAL/METHODOLOGICAL PROBLEM: Spondylodiscitis is an inflammation of the intervertebral disc, which in adults is generally associated with spondylitis of the adjacent vertebrae. It often presents clinically with nonspecific symptoms such as back or neck pain. It may be caused by various pathogens...

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Autores principales: Rotzinger, R., Omidi, R., Gebhard, H., Shariat, K., Ahlhelm, F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Medizin 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7910239/
https://www.ncbi.nlm.nih.gov/pubmed/33570680
http://dx.doi.org/10.1007/s00117-021-00814-6
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author Rotzinger, R.
Omidi, R.
Gebhard, H.
Shariat, K.
Ahlhelm, F.
author_facet Rotzinger, R.
Omidi, R.
Gebhard, H.
Shariat, K.
Ahlhelm, F.
author_sort Rotzinger, R.
collection PubMed
description CLINICAL/METHODOLOGICAL PROBLEM: Spondylodiscitis is an inflammation of the intervertebral disc, which in adults is generally associated with spondylitis of the adjacent vertebrae. It often presents clinically with nonspecific symptoms such as back or neck pain. It may be caused by various pathogens, especially bacteria. One or more vertebral segments can be affected. The infection can spread to surrounding compartments and can lead to epidural abscesses. Radiology, in particular magnetic resonance imaging (MRI), plays an important role in the diagnostic work-up and in the follow-up to monitor response to therapy. Treatment consists of conservative (antibiotics) and invasive approaches, including surgery. Interventional puncture and drainage is a promising alternative to surgery, especially in early stages of abscess formation. STANDARD RADIOLOGICAL METHODS: Magnetic resonance imaging (MRI), computed tomography (CT), nuclear medical procedures, conventional x‑ray. PERFORMANCE: MRI has the highest value. CT and nuclear medical procedures can be used as a supplement to MRI and in patients with contraindications for MRI. PRACTICAL RECOMMENDATIONS: With adequate diagnosis and therapy, spondylodiscitis has a good prognosis. In addition to targeted or calculated drug therapy, invasive treatment is the main focus, especially for epidural abscesses. Interventional radiological drainage can represent a less invasive alternative to surgical treatment.
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spelling pubmed-79102392021-03-15 Spondylodiszitis und epiduraler Abszess Rotzinger, R. Omidi, R. Gebhard, H. Shariat, K. Ahlhelm, F. Radiologe Leitthema CLINICAL/METHODOLOGICAL PROBLEM: Spondylodiscitis is an inflammation of the intervertebral disc, which in adults is generally associated with spondylitis of the adjacent vertebrae. It often presents clinically with nonspecific symptoms such as back or neck pain. It may be caused by various pathogens, especially bacteria. One or more vertebral segments can be affected. The infection can spread to surrounding compartments and can lead to epidural abscesses. Radiology, in particular magnetic resonance imaging (MRI), plays an important role in the diagnostic work-up and in the follow-up to monitor response to therapy. Treatment consists of conservative (antibiotics) and invasive approaches, including surgery. Interventional puncture and drainage is a promising alternative to surgery, especially in early stages of abscess formation. STANDARD RADIOLOGICAL METHODS: Magnetic resonance imaging (MRI), computed tomography (CT), nuclear medical procedures, conventional x‑ray. PERFORMANCE: MRI has the highest value. CT and nuclear medical procedures can be used as a supplement to MRI and in patients with contraindications for MRI. PRACTICAL RECOMMENDATIONS: With adequate diagnosis and therapy, spondylodiscitis has a good prognosis. In addition to targeted or calculated drug therapy, invasive treatment is the main focus, especially for epidural abscesses. Interventional radiological drainage can represent a less invasive alternative to surgical treatment. Springer Medizin 2021-02-11 2021 /pmc/articles/PMC7910239/ /pubmed/33570680 http://dx.doi.org/10.1007/s00117-021-00814-6 Text en © The Author(s) 2021 Open Access Dieser Artikel wird unter der Creative Commons Namensnennung 4.0 International Lizenz veröffentlicht, welche die Nutzung, Vervielfältigung, Bearbeitung, Verbreitung und Wiedergabe in jeglichem Medium und Format erlaubt, sofern Sie den/die ursprünglichen Autor(en) und die Quelle ordnungsgemäß nennen, einen Link zur Creative Commons Lizenz beifügen und angeben, ob Änderungen vorgenommen wurden. Die in diesem Artikel enthaltenen Bilder und sonstiges Drittmaterial unterliegen ebenfalls der genannten Creative Commons Lizenz, sofern sich aus der Abbildungslegende nichts anderes ergibt. Sofern das betreffende Material nicht unter der genannten Creative Commons Lizenz steht und die betreffende Handlung nicht nach gesetzlichen Vorschriften erlaubt ist, ist für die oben aufgeführten Weiterverwendungen des Materials die Einwilligung des jeweiligen Rechteinhabers einzuholen. Weitere Details zur Lizenz entnehmen Sie bitte der Lizenzinformation auf http://creativecommons.org/licenses/by/4.0/deed.de.
spellingShingle Leitthema
Rotzinger, R.
Omidi, R.
Gebhard, H.
Shariat, K.
Ahlhelm, F.
Spondylodiszitis und epiduraler Abszess
title Spondylodiszitis und epiduraler Abszess
title_full Spondylodiszitis und epiduraler Abszess
title_fullStr Spondylodiszitis und epiduraler Abszess
title_full_unstemmed Spondylodiszitis und epiduraler Abszess
title_short Spondylodiszitis und epiduraler Abszess
title_sort spondylodiszitis und epiduraler abszess
topic Leitthema
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7910239/
https://www.ncbi.nlm.nih.gov/pubmed/33570680
http://dx.doi.org/10.1007/s00117-021-00814-6
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