Is tactical algorithmization possible for infectious lesions of the spine? Literature review

Abstract

Non-specific infectious lesions of the spine present a severe clinical problem due to the high risk of the septic complications and possible mortality. The late diagnosis and subjective treatment options could lead to complicated course of disease, progression of vertebral destruction, development of neurological disorders, as well as multi-resistance of bacteria due to the empiric antibacterial chemotherapy.  The modern algorithms of diagnosis and treatment should be aimed at improving the quality of care for patients with infectious spondylitis. A literature review on the current concept of their assessment, including a step-by-step description of the Vertebral Osteomyelitis Guideline Team (VOGT) strategy, and the classifications of Pola (NCPS) and Homagk (SSC) is presented.