ct guided biopsy

Vertebral Osteomyelitis

Epidemiology

 

M:F =2:1

 

30-40 years

 

20% diabetic

 

50-80% identifiable source

 

Site

 

Lumbar (50%) > Thoracic > Cervical (<10%)

 

Pathogenesis

 

1.  Haematogenous

- arterial rather than venous

 

Risk factors

- UTI (40% of all cases)

- IVDU

- elderly

Epidural Abscess

Definition

 

Pus collection in the epidural space

 

Epidemiology

 

Usually haemotogenous seeding

 

Very rare

- 37 / 1 000 000 patients with LBP

- 1 /10 000 admissions

- most common in old men

 

Average age 68 years

 

3/4 males

 

Rare in paediatrics