Management of Pyogenic Spinal Infection, review of literature

AbstractObjectiveTo evaluate the available evidence for the management of Pyogenic Spinal Infection (PSI).Methods and resultsA comprehensive search for the relevant literature published between 1990 and 2018 to evaluate the management of PSI was conducted.Nonoperative management of carefully selected patients for an adequate duration of antibiotics can result in satisfactory outcomes with low recurrence rate. When there is an indication for surgery, posterior approach, with or without debridement of infected tissue reported to be associated with good outcomes.ConclusionStudies with larger sample sizes and longer duration of follow up are recommended to formulate more comprehensive evidence.