[Needle puncture of the intervertebral disk foci in the bacteriological diagnosis of infectious spondylodiscitis. Technic and results].
Clinical, laboratory, and radiological data do not make possible a certain diagnosis of infectious spondylitis: errors are thus possible, even frequent, and are harmful to the patient. In order to ensure a certain diagnosis and to avoid exploratory surgery as far as possible, the authors propose systematic needle puncture of the inververtebral disk--a technique that is simple and inoffensive to carry out in all disks below T4, and that, in a series of 18 cases, gave a success rate of 2 out of 3 (11 positive results). The technique, the results and the factors essential for success are described and analysed.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000772:Anesthesia, Local; D001424:Bacterial Infections / Q000175:diagnosis*; D001707:Biopsy, Needle / Q000009:adverse effects / Q000379:methods; D002006:Brucellosis / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007403:Intervertebral Disc / Q000382:microbiology*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013131:Spine / Q000382:microbiology; D013166:Spondylitis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000382:microbiology; D013203:Staphylococcal Infections / Q000175:diagnosis; D014399:Tuberculosis, Spinal / Q000175:diagnosis / Q000000981:diagnostic imaging
La ponction ã l'aiguille du foyer disco-vertébral pour le diagnostic bactériologique des spondylodiscites infectieuses. Technique et résultats