title: [Pyogenic spondylitis in adults].
abstract: The authors have treated 50 cases of non specific spondylitis in adults and reviewed the clinical signs and diagnostic problems in this condition. They advocate a systematic surgical approach to the focus. This allows identification of the organism unless the patient has previously received antibiotics. Even then, a direct approach allows histological examinations to be made and necrotic and infected tissues to be cleaned up. In 12 highly destructive lesions, a bone graft was added. The results were more satisfactory when fusion across the disc was achieved. There were only two deaths.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007049:Iatrogenic Disease; D007103:Immobilization; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013123:Spinal Fusion; D013131:Spine / Q000000981:diagnostic imaging; D013166:Spondylitis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D013530:Surgical Wound Infection; D014399:Tuberculosis, Spinal / Q000175:diagnosis
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Spondylodiscites à pyogénes de l'adulte