Spinal Infections: Differential Diagnostics, Treatment Decisions, Principles

In this spine surgery lecture, the principles of the diagnosis and treatment of pyogenic spinal infections are presented.

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Lecturer: Christof Birkenmaier, MD

Includes:

  • Online Lecture Presentation
  • Pre- and Post- Learning Assessments
  • Additional Learning Materials (Standard Package only)
  • Up to 3 CME Credits

DOI: 10.28962/01.3.147

Ref.ID: 8_4_birkenmaier

What you will cover in this lecture

In this spine surgery lecture, the principles of the diagnosis and treatment of pyogenic spinal infections are presented. Without a secured diagnosis, the decision for or against surgery as well as for the timing of surgery may rest on soft ground. All types of surgical approaches may be needed. Sterile cultures may point towards tuberculosis, but there are other infections that are hard to identify – suspicion is key. Quality biopsies are very valuable in our experience, even though some literature concludes to the contrary. When screening for infection (especially multifocal), PET-CT followed by MRI are most sensitive. Patients with SEA mostly benefit from rapid surgical decompression. When deciding on whether an “epidural abscess” is indeed drainable, MRI without contrast-enhanced T1-sequences may be misleading. There are currently updated, evidence-based guidelines for the institution of empiric antibiotic therapy in the presence of spondylitis / spondylodiscitis. When using implants, FU imaging / resistance to infection should be considered. It is no longer simply “titanium is best”. There are considerable developments in the implants arena – with regards to implant materials as well as with regards to infection-preventing coatings of standard metallic implants.

Learning Objectives

  1. To know about various types of spinal infections
  2. To learn the principles of diagnostic imaging
  3. Differential Diagnoses
  4. Typical and unique features of epidural abscesses
  5. To be able to identify patients requiring an urgent intervention
  6. To obtain knowledge rearding principles of selecting implants in patients with spinal infection

Target Groups

Practicing Spine Surgeons

in Orthopaedic or Neurosurgical services for Continuing Education or recertification

Logos of Endorsed by European Spine Journal, CME Accredited by EACCME, Supported by Spine and Open Operating Theatre
Dr Christof Birkenmaier - Spine Surgery Faculty - eccElearning

Christof Birkenmaier, MD

  • Orthopädische Klinik München, Munich

eccElearning Participation

Author

Lecture Presentation

Spinal Infections: Differential Diagnostics, Treatment Decisions, Principles

Includes:

  • Online Lecture Presentation
  • Pre- and Post- Learning Assessments
  • Additional Learning Materials (Standard Package only)
  • Up to 3 CME Credits

Enrol to View This Lecture

Access to all 180 Spine Lectures for a low monthly fee - cancel any time.

Enrol Now

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Each Spine Surgery Lecture is viewed online in video format and lasts from 20-45 minutes. The Lectures contain relevant additional learning resources (book chapters, research papers, surgical videos, master lecture videos, case reports, review articles, etc.), which are presented in context and viewable immediately for your convenience.

Lecture 5.1 is an invited Master Lecture and does not include the Quiz and Assessment components.

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