singa.org
  • ABOUT
  • INTERVENTIONS
    • EPIDURAL INJECTIONS >
      • CAUDAL EPIDURAL INJECTIONS
      • INTERLAMINAR EPIDURAL INJECTIONS >
        • CERVICAL INTERLAMINAR EPIDURAL INJECTIONS
        • THORACIC INTERLAMINAR EPIDURAL INJECTIONS
        • LUMBAR INTERLAMINAR EPIDURAL INJECTIONS
      • TRANSFORAMINAL EPIDURAL INJECTIONS
    • JOINT & BURSA INJECTIONS >
      • SYNOVIAL FLUID ANALYSIS
      • Hip Injection
      • Knee Injection
      • Sacroiliac Joint Injection
      • TROCHANTERIC BURSA INJECTION
    • KYPHOPLASTY
    • LUMBAR DECOMPRESSION >
      • LUMBAR DECOMPRESSION
      • MINIMALLY INVASIVE LUMBAR DECOMPRESSION (MILD)
    • MUSCLE & TENDON INJECTIONS >
      • CARPAL TUNNEL INJECTION
      • PLANTAR FASCIA Injection
      • TRIGGER POINT INJECTION
    • NERVE BLOCKS >
      • CLUNEAL NERVE BLOCKS
      • SYMPATHETIC BLOCKS >
        • CELIAC PLEXUS BLOCK
        • GASSERIAN GANGLION BLOCK
        • LUMBAR SYMPATHETIC BLOCK
        • SPHENOPALANTINE GANGLION BLOCK
        • STELLATE GANGLION BLOCK
    • NEUROMODULATION >
      • INTRATHECAL DRUG DELIVERY PUMP
      • NERVE STIMULATION
    • RADIOFREQUENCY ABLATION
    • REGENERATIVE PROCEDURES
    • SACROILIAC JOINT FUSION
  • PHARMACEUTICALS
    • ANTIDEPRESSANTS
    • ANTICONVULSANTS
    • Clinical Drug Monitoring
    • LAXATIVES
    • Interventional Pharamacology >
      • RADIOGRAPHIC CONTRAST AGENTS
      • LOCAL ANESTHETICS
      • CORTICOSTEROIDS
      • TOPICAL ANTISEPTICS
    • Intravenous Infusion Therapy
    • MUSCLE RELAXANTS >
      • DANTROLENE
  • CONDITIONS
    • Ankylosing spondylitis
    • CROHN'S DISEASE
    • COMPLEX REGIONAL PAIN SYNDROME
    • Fibromyalgia
    • Headache >
      • Cluster Headache
      • Migraine Headache
      • Other Headache
      • Tension-Type Headache
    • Insomnia
    • Myofascial Trigger Points
    • OSTEOMYELITIS
    • Pancreatitis
    • Plantar Fasciitis
    • Poststroke
    • RHEUMATOID ARTHRITIS
    • Sickle Cell Disease
    • Systemic Lupus Erythematosus
  • SYMPTOMS
    • Abdominal Pain
    • PELVIC PAIN
  • MISCELLANEOUS
    • CODES: CPT and ICD
    • Hormone Testing
    • JOKES
    • PERIOPERATIVE CONSIDERATIONS
OSTEOMYELITIS
+ Back pain is often the most common presenting symptoms of vertebral osteomyelitis. However, in its early stages, the clinical assessment is often non-focal and non-specific. 
​
+ Fever may be present in only one-half of patients.  If patients present with fever and back pain, a CBC may be performed, although many patients have a normal neutrophil and no leukocytosis.  Elevated erythrocyte sedimentation rate and C-reactive protein serum tests have a high sensitivty and are useful in the workup of vertebral osteomyelitis.  Both aerobic and anaerobic blood cultures should also be drawn. 
+ MRI with contrast is the optimal imaging modality as x-rays are insensitive to vertebral osteomyelitis.  If an MRI cannot be performed, SPECT is the next best option.
+ Antibiotic therapy is the primary treatment.  Surgery is indicated if there is neurologic compromise, spine instability, etc.
+ Complications from vertebral osteomyelitis include chronic pain, disability, vertebral fracture, etc.

+ Approximately 10-30% of acute osteomyelitis cases become chronic, in which patients may experience frequent relapses.  The approach to chronic osteomyelitis is directed towards infection cessation, pain management, and functional maintenance. 
​- Graeber A, Cecava ND. Vertebral Osteomyelitis. [Updated 2019 Jun 3]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK532256/
-
Walter G, Kemmerer M, Kappler C, Hoffmann R. Treatment algorithms for chronic osteomyelitis. Dtsch Arztebl Int. 2012;109(14):257–264. doi:10.3238/arztebl.2012.0257
Powered by Create your own unique website with customizable templates.
  • ABOUT
  • INTERVENTIONS
    • EPIDURAL INJECTIONS >
      • CAUDAL EPIDURAL INJECTIONS
      • INTERLAMINAR EPIDURAL INJECTIONS >
        • CERVICAL INTERLAMINAR EPIDURAL INJECTIONS
        • THORACIC INTERLAMINAR EPIDURAL INJECTIONS
        • LUMBAR INTERLAMINAR EPIDURAL INJECTIONS
      • TRANSFORAMINAL EPIDURAL INJECTIONS
    • JOINT & BURSA INJECTIONS >
      • SYNOVIAL FLUID ANALYSIS
      • Hip Injection
      • Knee Injection
      • Sacroiliac Joint Injection
      • TROCHANTERIC BURSA INJECTION
    • KYPHOPLASTY
    • LUMBAR DECOMPRESSION >
      • LUMBAR DECOMPRESSION
      • MINIMALLY INVASIVE LUMBAR DECOMPRESSION (MILD)
    • MUSCLE & TENDON INJECTIONS >
      • CARPAL TUNNEL INJECTION
      • PLANTAR FASCIA Injection
      • TRIGGER POINT INJECTION
    • NERVE BLOCKS >
      • CLUNEAL NERVE BLOCKS
      • SYMPATHETIC BLOCKS >
        • CELIAC PLEXUS BLOCK
        • GASSERIAN GANGLION BLOCK
        • LUMBAR SYMPATHETIC BLOCK
        • SPHENOPALANTINE GANGLION BLOCK
        • STELLATE GANGLION BLOCK
    • NEUROMODULATION >
      • INTRATHECAL DRUG DELIVERY PUMP
      • NERVE STIMULATION
    • RADIOFREQUENCY ABLATION
    • REGENERATIVE PROCEDURES
    • SACROILIAC JOINT FUSION
  • PHARMACEUTICALS
    • ANTIDEPRESSANTS
    • ANTICONVULSANTS
    • Clinical Drug Monitoring
    • LAXATIVES
    • Interventional Pharamacology >
      • RADIOGRAPHIC CONTRAST AGENTS
      • LOCAL ANESTHETICS
      • CORTICOSTEROIDS
      • TOPICAL ANTISEPTICS
    • Intravenous Infusion Therapy
    • MUSCLE RELAXANTS >
      • DANTROLENE
  • CONDITIONS
    • Ankylosing spondylitis
    • CROHN'S DISEASE
    • COMPLEX REGIONAL PAIN SYNDROME
    • Fibromyalgia
    • Headache >
      • Cluster Headache
      • Migraine Headache
      • Other Headache
      • Tension-Type Headache
    • Insomnia
    • Myofascial Trigger Points
    • OSTEOMYELITIS
    • Pancreatitis
    • Plantar Fasciitis
    • Poststroke
    • RHEUMATOID ARTHRITIS
    • Sickle Cell Disease
    • Systemic Lupus Erythematosus
  • SYMPTOMS
    • Abdominal Pain
    • PELVIC PAIN
  • MISCELLANEOUS
    • CODES: CPT and ICD
    • Hormone Testing
    • JOKES
    • PERIOPERATIVE CONSIDERATIONS