AB0934 Cervical Infectious Spondylodiscitis: About Three Cases. (9th June 2015)

• Record Type: Journal Article
• Authors: Imane, G.; Imen, G.; Jemmali, S.; Abid, R.; Dhahri, R.; Laajili, F.; Bassem, L.; Riadh, B.; Ben Abdelhafidh, N.; Othmani, S.
• Is Part Of: Annals of the rheumatic diseases. Volume 74(2015)Supplement 2
• Page Start: 1212
• Page End: 1212
• Publication Date: 2015-06-09
• Subjects: Rheumatism -- Periodicals; 616.723005
• DOI: 10.1136/annrheumdis-2015-eular.6340
• Languages: English
• ISSNs: 0003-4967

Abstract

Abstract : Background: Cervical spondylodiscitis diseases are rare. They represent 3 to 15% of spine infections. Moreover, they present some slight epidemiological and clinical differences.It can endanger the patient either locally because of severe destruction, often with concomitant neurological deficits Objectives: To report some cases of cervical spondylodiscitis and presenting its characteristics Methods: We report 3 cases (two women and one man) with a mean age of 44 years. Results: Causative agents were a mycobacterium tuberculosis (MT) in two cases and a staphylococcus in one case. Infection of the upper cervical spine (C1-C2) was noted in one case. Disco vertebral needle biopsy permitted, in one case, to make a bacteriological diagnosis (MT). Spondylodiscitis is associated with paravertebral abscess (one case), epiduritis (2 cases), spinal cord compression (2 cases), vertebral instability (2 cases). Medical management with A combined broad-spectrum antibiotic therapy was performed associated with orthopedic immobilization of the spine and was successful in all cases. Conclusions: Risk of spine instability and frequency of neurological complications (observed in 20 to 40% of cases) make of cervical spondylodiscitis a serious disease. Urgent and multidisciplinary management is necessary, based on adapted antibiotherapy and orthopedic and surgical immobilization of the cervical spine.Surgery is indicated if a neurological deficit, symptoms of sepsis, epidural abscess formation with consecutive stenosis, instability or severe deformity were present Disclosure of Interest: None declared