AB1224 NON-CONTIGUOUS MULTIFOCAL SPONDYLODISCITIS: A RETROSPECTIVE OBSERVATIONAL STUDY

Background Non-contiguous multifocal spondylodiscitis (mSpD) is a serious infection. Although literature data highlight the opportunity to miss non-contiguous (SpD), recommendations for which cases an MRI of entire spine should be performed are missing. Objectives The aim study was assess clinical features mSpD reveal risk factors underlining need screening involvement Methods We retrospectively evaluated patients with confirmed Results Twelve suffered from were included (6 males, 6 females). mean age 60 years. Four had underlying chronic comorbidity, Diabetes (n=3), hepatitis C virus (n=1). Most pain (11 patients,), radiculalgia in one patient, neurologic deficit (3 patients), worsening health status (7 patients). Symptoms onset acute (n=1) or sub-acute (n=3) long term (n=8) before admission. duration between diagnosis and on symptoms 9,6 months. Tubercular most detected etiology (n=8), by histological analysis then brucellar, serlology lab test, pyogenic SpD two each. multi-level lumbar, thoracic, cervical patient each region. Seven lumbar thoracic occurs three regions patients. Elevated inflammatory biomarkers (CRP ESR) present all cases. Entire almost patients, diagnosis, showed para-vertebral abscess epidural inflammation (n=6), spinal cord compression (n=3). majority favorable evolution appropriate antibiotic therapy. One maintain deficit, severe degree pain. Surgical approach not indicated. Conclusion In our study, did appear associated particular pattern. Tuberculosis dominant etiology. That suggests, column suspicious SpD, especially when tuberculosis evocated Disclosure Interests None declared