Cervical pyogenic spondylodiscitis: 4 cases report and a review of the literature
Nishikawa, M.; Sakamoto, H.; Kishi, H.; Yasui, T.; Komiyama, M.; Iwai, Y.; Kitano, S.; Yamanaka, K.; Nakajima, H.; Kan, M.
No Shinkei Geka. Neurological Surgery 28(1): 81-87
2000
ISSN/ISBN: 0301-2603 PMID: 10642998 Document Number: 519699
We report 4 cases of cervical spondylodiscitis presenting neurological and/or neuroradiological abnormalities. Such a lesion is rare in the cervical spine of adults, but should be suspected when the patient has radiculopathy and/or myelopathy associated with inflammatory signs. We discussed the clinical characteristics and the procedures of the diagnosis and treatment of cervical spondylodiscitis. Early and definitive diagnosis can be achieved by cervical X-ray, MR imaging and biopsy. It is very important to evaluate the pyogen for the lesion by needle biopsy. When the patient has the compression of the spinal cord and/or nerve roots and the neurological findings of radiculopathy and/or myelopathy, surgical exploration and decompression of the spinal cord and/or nerve roots should be carried out as soon as possible. Anterior debridement and fusion should be performed using the effective antibiotics. We were able to achieve good prognosis by treatment following this procedure of diagnosis in the four cases of cervical spondylodiscitis mentioned.