       Document 0191
 DOCN  M9640191
 TI    Pediatric spinal infections.
 DT    9604
 AU    Glazer PA; Hu SS; Department of Orthopaedic Surgery, University of
       California, San; Francisco, USA.
 SO    Orthop Clin North Am. 1996 Jan;27(1):111-23. Unique Identifier :
       AIDSLINE MED/96133777
 AB    A high index of suspicion for spinal infection and an appropriate and
       prompt diagnosis are essential for the treatment of pediatric spinal
       infections. A 3-week course of antibiotics and supportive therapy is
       effective in the majority of cases of discitis, the most common
       pediatric spinal infection. Patients who are not toxic may be treated
       with bracing, or with casting alone in many cases. Neurologic deficit or
       a failure to respond to early treatment requires more aggressive
       measures, including biopsy or surgical debridement. It is essential to
       diagnose rare but serious conditions such as epidural abscess,
       tuberculosis, or opportunistic infections in patients at risk. The
       authors stress that clinical evaluation and appropriate diagnosis are
       critical for prevention of permanent neurologic damage or late bony
       deformity.
 DE    Adolescence  Adult  Antibiotics/THERAPEUTIC USE  AIDS-Related
       Opportunistic Infections/DIAGNOSIS  Child
       Discitis/DIAGNOSIS/ETIOLOGY/THERAPY  Human  Infant
       Infection/*DIAGNOSIS/*THERAPY  Male
       Osteomyelitis/DIAGNOSIS/ETIOLOGY/THERAPY  Scoliosis/SURGERY  Spinal
       Diseases/*DIAGNOSIS/ETIOLOGY/*THERAPY  Surgical Wound
       Infection/DIAGNOSIS/THERAPY  Tuberculosis, Spinal/DIAGNOSIS/THERAPY
       JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

