Vertebral osteomyelitis natural history, complications and prognosis

Vertebral osteomyelitis Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Prognosis

• The prognosis for the disease is dependent on where the infection is concentrated in the spine, the time between initial onset and treatment, and what approach is used to treat the disease.
• Mortality rates are noted to be higher in patients whose infection is due to the bacteria, staphylococcus aureus. However, if diagnosed quickly and treated correctly, patients with staphylococcus aureus experience better outcomes than those with the disease caused by other microorganisms.
• The subtle progression of vertebral osteomyelitis places patients at risk for paralysis, especially if the infection is concentrated in the thoracic or cervical vertebrae.
• Research published in The Journal of Bone and Joint Surgery (1997) notes that most patients do not experience symptoms of the infection following surgical intervention; therefore, patients with an advanced case of vertebral osteomyelitis who undergo a surgical approach often experience better outcomes than those treated solely through intravaneous antibiotics.