Spondylodiscitis - Vertebral osteomyelitis

Medium urgency
-Moderately severe

It corresponds to the inflammation of the disc that cushions the friction between two contiguous vertebrae.

It is usually due to a bacterial infection although it can be caused by other germs.

It manifests with fever and back or hip pain, which generally increases with movement such as walking.

Diagnosis is made by clinical examination, physical examination, blood tests, blood cultures and imaging tests (spinal X-ray, CT scan and/or MRI). 

Treatment includes administration of analgesics, antibiotics and sometimes surgical cleaning. 

Bibliographic references
  1. Kim HJ, Green DW. Adolescent back pain. Curr Opin Pediatr 2008; 20:37.
  2. Skaggs DL, Early SD, D'Ambra P, et al. Back pain and backpacks in school children. J Pediatr Orthop 2006; 26:358.
  3. Selbst SM, Lavelle JM, Soyupak SK, Markowitz RI. Back pain in children who present to the emergency department. Clin Pediatr (Phila) 1999; 38:401.
  4. Mustard CA, Kalcevich C, Frank JW, Boyle M. Childhood and early adult predictors of risk of incident back pain: Ontario Child Health Study 2001 follow-up. Am J Epidemiol 2005; 162:779.
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Symptoms

    Difficulty sitting up and need to use your arms to push yourself up


    Lower back pain


    Irritability


    Hip joint pain


    Recent limping

Pre-hospital care recommendations

Take over-the-counter pain relievers or anti-inflammatories.
Consult with your primary care physician regarding the prescription of antibiotics.