Abstract:

Pyogenic spondylitis is an infrequent infection. Its incidence is increasing because of the growing number of elderly people and immunocompromised patients. The diagnosis of pyogenic spondylitis is usually very difficult and appropriate imaging, blood cultures and/or biopsy are necessary for early diagnosis. Most cases can be treated with non-operatively, but patients with spinal cord or cauda equine compression with progressive neurological deficits and/or patients with failure of conservative treatment should receive surgical treatment. Because of the nonspecific clinical attack of pyogenic spondylitis, it is easy to be confused with spinal tuberculosis, brucellosis spondylitis and other degenerative diseases. The misdiagnosis and missed diagnosis rate is high, which can easily lead to spinal deformity and neurological impairment, paralysis, and even death. So early and accurate diagnosis of pyogenic spondylitis is important for timely and effective treatment and reducing the occurrence of spinal deformity and dysfunction.

Key words: Pyogenic spondylitis, Disease attributes, Diagnosis,differential, Combined modality therapy, Review literature as topic