Ragab, R., El-Mansy, Y., Elbedary, M. (2025). RISK FACTORS OF SPONDYLODISCITIS. A SINGLE CENTER EXPERIENCE. ALEXMED ePosters, 7(2), 14-15. doi: 10.21608/alexpo.2025.375448.2137
Raafat Kamal Ragab; Yasser Mohamed Ehab El-Mansy; Mohamed Helmy Mohamed Elbedary. "RISK FACTORS OF SPONDYLODISCITIS. A SINGLE CENTER EXPERIENCE". ALEXMED ePosters, 7, 2, 2025, 14-15. doi: 10.21608/alexpo.2025.375448.2137
Ragab, R., El-Mansy, Y., Elbedary, M. (2025). 'RISK FACTORS OF SPONDYLODISCITIS. A SINGLE CENTER EXPERIENCE', ALEXMED ePosters, 7(2), pp. 14-15. doi: 10.21608/alexpo.2025.375448.2137
Ragab, R., El-Mansy, Y., Elbedary, M. RISK FACTORS OF SPONDYLODISCITIS. A SINGLE CENTER EXPERIENCE. ALEXMED ePosters, 2025; 7(2): 14-15. doi: 10.21608/alexpo.2025.375448.2137
RISK FACTORS OF SPONDYLODISCITIS. A SINGLE CENTER EXPERIENCE
1Department of Orthopedic Surgery and Traumatology, Faculty of Medicine, Alexandria University, Egypt
2Department of Orthopaedic Surgery and Traumatoloty, Faculty of Medicine, Alexandria University
Abstract
Spondylodiscitis is an infection involving the intervertebral disc and adjacent vertebrae (vertebral osteomyelitis). Its incidence has doubled over the last 20 years. It was reported as the third most common form of osteomyelitis at >50 years of age. This increase in incidence is attributed to population aging, improved diagnostic tools, a higher burden of comorbidities such as diabetes and immunosuppression, and the rising frequency of spinal procedures. Moreover, the incidence is likely higher in developing regions, particularly where tuberculosis and brucellosis are prevalent. Spondylodiscitis can arise through three primary routes: haematogenous spread which is the most common, direct inoculation, and, less frequently, contiguous spread. In adults, direct inoculation often happens during spinal surgeries or procedures like injections or discectomies. Bacterial inoculation and spine contamination can occur due to diagnostic or therapeutic spinal procedure. Contiguous spread involves the infection moving from nearby structures, such as an abscess or an infected aortic graft, though this is relatively rare.
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