Vertebral fracture and Spondylitis: what to do?

Good morning,

I would like to have some advice concerning my mother’s situation. She’s been in hospital for almost 21 days for a vertebral fracture. She has a pacemaker and she couldn’t have the magnetic resonance.

After the CAT, she’s been told that it is a spondylitis, which will be officialised after the bone biopsy scheduled for tomorrow. It’s almost 20 days that she’s bedridden: she has very strong back pains that are controlled by medical therapy.

I would like to have some advice on what to expect in terms of time schedule and above all to know if she might have a different result at your Centre, in case she didn’t respond to antibiotic treatment (actually this possibility has been presented to us).

Thanks,

Rita

One comment on “Vertebral fracture and Spondylitis: what to do?

  1. Claudia Rastelli on

    Dear Rita,
    I’m really sorry for your mother’s pain.

    Unfortunately, spondylitis is a disease that generates strong pains, difficulties in movement and long times of healing.
    The pathway undertaken is correct. After the instrumental diagnosis (which is normally taken by nuclear magnetic resonance or scintigraphy with marked leukocytes) you have a bone biopsy to isolate the microorganism responsible for the infection.

    It is possible to detect the responsible germ also through a haemoculture (in case of sepsis).
    In infectious forms, blood tests show an increase of the inflammatory indices (VES, PCR and WBCs) that are less altered in the non-infectious forms.
    At the beginning the treatment is conservative and it includes rest, the use of an orthopaedic bust and the antibiotic therapy targeted against the responsible germ, or empirical therapy if the germ is unknown. In this phase HBOT is recommended in order to enhance the effect of medication and work in synergy.

    The benefits HBOT can bring to the treatment of this disease are:
    – Facilitate the reduction of the infected site thanks to its direct antibacterial action (bacteriostatic or bactericide, depending on the bacterium) and indirect thus strengthening the antibiotics effects.
    – Facilitate the edema reabsorption that causes pain thus obtaining a good anti-inflammatory effect.
    – Facilitate the formation of new small vessels (neoangiogenesis) in order to improve the oxygenation of the suffering tissues by helping them to develop their defence potentials.
    – Stimulate healthy bone development.
    At the Hyperbaric Centre of Ravenna we adopt a multidisciplinary approach where also physical rehabilitation, according to the patient’s motor ability and followed by a physiatrist and a physical therapist, is extremely important.
    It is important to underline that at our Centre we don’t have hospitalization, so our patients are treated as outpatients. This is the reason why, as a preliminary step, the patient will undergo a medical visit in order to have his general conditions evaluated.

    The number of prescribed sessions varies according to the gravity of the clinical picture and they are normally taken from Monday to Friday.
    Best regards,
    Dr. Claudia Rastelli
    Degree in Medicine and Surgery of the University of Ferrara, Subscribed to the Medical Council of Rimini, Number 2074

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