We do not advise the use of bone anchors as they increase the risk for discitis
Evidence of significant discitis
and end plate destruction at L5/S1 level.
Spinal infections, like vertebral osteomyelitis and discitis
, are rare in children.
To the Editor: Calcific discitis
is a self-limiting cervical disc disease usually seen in children and uncommon in adults. It can typically be cured by conservative treatment. In this article, we reported a case of paralysis caused by thoracolumbar calcific discitis
, with acute herniation.
Magnetic resonance imaging of the patient's spine confirmed multilevel discitis
and osteomyelitis (T7-T9, L5-S1) with no cord compression.
These complications may manifest as wound infection, discitis
, and dural tears with cerebrospinal fluid leak .
The patient underwent a CT-guided aspiration biopsy of the L4-L5 discitis
and adjacent fluid collection, showing no growth on the culture.
The exclusion criteria were the presence of spinal stenosis; clear instabilities or deformities; chronic discogenic back pain; painless motor weakness and pyogenic discitis
The involvement of the adjacent anatomical structures (vertebral body destruction, discitis
, psoas abscess, and AEF) can accompany these features.
"Biomechanical responses due to discitis
infection of a juvenile thoracolumbar spine using finite element modeling", Medical engineering & physics, 36.7, 938-943 (2014).
Complications of RBF include septic arthritis, endocarditis, and rarely discitis
, as in our patient.