Spondylitis

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Brucellosis spondylitis
Classification according to ICD-10
M46.- Other inflammatory spondylopathies
ICD-10 online (WHO version 2019)

When spondylitis (latinized Greek: spondylitis "Spondylosis") or vertebral inflammation is a hematogenous infection of the vertebrae caused inflammation . A Spondylodiscitis (inflammation of the spinal disc and the two adjacent vertebral bodies) can be both a cause and consequence spondylitis. In contrast, ankylosing spondylitis (also known as ankylosing spondylitis and Bechterew's disease) is an inflammatory rheumatic disease that affects the joints of the limbs and especially the (thoracic) spine .

Diagnosis

The pain is uncharacteristic and can be misunderstood as trivial back or lower back pain. In the early stages, the X-ray examination may be without results. If the process is well encapsulated, the laboratory values ​​also show no abnormalities. A good aid here is scintigraphy , with which the activation of the bone metabolism can be demonstrated. The MRI shows the inflammatory process in the bone and in the surrounding soft tissue.

The tuberculous spondylitis is seen as a special case. If it progresses slowly, with relatively few symptoms and sometimes laboratory values ​​that are not particularly conspicuous, one or more vertebrae are gradually destroyed ("vertebral caries").

therapy

Depending on the severity of the clinical picture, the inevitable, intensive antibiotic treatment must be supplemented by surgical measures. The destroyed bone is cleared out. If the findings suggest it, chains made of antibiotic-containing plastic can be inserted, which are later removed and exchanged for the body's own bone material. An orthosis is also given to stabilize the trunk . The necessary treatment and monitoring of the course take a long time, usually well over a year, and tuberculosis is much longer.

literature

Web links

Wiktionary: Spondylitis  - explanations of meanings, word origins, synonyms, translations