Skip to main content
SpringerLink
Log in

Vertebral Osteomyelitis

  • Chapter
Orthopedic Infection

Part of the book series: Clinical Topics in Infectious Disease ((CLIN.TOP.INFECT))

Abstract

In adults vertebral osteomyelitis differs from osteomyelitis at other sites in that, aside from postoperative infections, the infection almost always occurs by a hematogenous route. The tendency of osseous infections to localize in the vertebral body may be related to the nature of the vascular supply and the fact that the vertebral body is composed almost entirely of cancellous or spongy bone, which might provide a more suitable environment for infection to take place. Although it is difficult to estimate the relative proportion of vertebral to nonvertebral hematogenous osteomyelitis in adults, it appears that vertebral osteomyelitis is the more common disease (106). The typical patient is a middle-aged or elderly male without a history of underlying back disease and, in a significant number of patients, no history to account for a bacteremic episode.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Abramovitz JN, Batson R, Yablon JS: Vertebral osteomyelitis: The surgical management of neurologic complications. Spine 11:418–420, 1986.

    Article  PubMed  CAS  Google Scholar 

  2. Acton RK: Anatomy of the spine, in Spinal Disorders: Diagnosis and Treatment, Ruge D, Wiltse LL (eds). Philadelphia, Lea & Febiger, 1977.

    Google Scholar 

  3. Allen EH, Cosgrove D, Millard FJC: The radiological changes in infections in the spine and their diagnostic value. Clin Radiol 29:31–40, 1978.

    Article  PubMed  CAS  Google Scholar 

  4. Al-Sheikh W, Sfakianakis GN, Mnaymneh W, Hourani M, Heal A, Duncan RC, Burnett A, Ashkar FS, Serafini AN: Subacute and chronic bone infections: Diagnosis using In-II, Ga-67, Tc-99 MDP bone scintigraphy and radiography. Radiology 155:501–506, 1985.

    PubMed  CAS  Google Scholar 

  5. Ambrose BG, Alpert M, Neer CS: Vertebral osteomyelitis. A diagnostic problem. JAMA 197: 101–104, 1966.

    Article  Google Scholar 

  6. American Thoracic Society: Treatment of tuberculosis and other mycobacterial disease. Am Rev Respir Dis 127:790–796, 1983.

    Google Scholar 

  7. Ariza J, Gudiol F, Valverde J, Pallares R, Fernandez-Viladrich P, Rufi G, Espadaler L, Fernandez-Nogues F: Brucellar spondylitis: A detailed analysis based on current findings. Rev Infect Dis 7:656–664, 1985.

    Article  PubMed  CAS  Google Scholar 

  8. Armstrong P, Chalmers AH, Green G, Irving JD: Needle aspiration/biopsy of the spine in suspected disc space infection. Br J Radiol 51:333–337, 1978.

    Article  PubMed  CAS  Google Scholar 

  9. Awad I, Bay JW, Peterson JM: Nocardial osteomyelitis of the spine with epidural spinal cord compression—A case report. Neurosurgery 15:254–256, 1984.

    Article  PubMed  CAS  Google Scholar 

  10. Baker AS, Ojemann RJ, Swartz MW, Richardson EP Jr: Spinal epidural abscess. N Engl J Med 293:463–468, 1975.

    Article  PubMed  CAS  Google Scholar 

  11. Bergman I, Wald ER, Meyer JD, Painter MJ: Epidural abscess and vertebral osteomyelitis following serial lumbar punctures. Pediatrics 72:476–480, 1983.

    PubMed  CAS  Google Scholar 

  12. Bonakdarpour A, Gaines VD: The radiology of osteomyelitis. Orthop Clin North Am 14:21–36, 1983.

    CAS  Google Scholar 

  13. BonFiglio M, Lange TA, Kim YM: Pyogenic vertebral osteomyelitis: Disk space infections. Clin Orthop 96:234–247, 1973.

    PubMed  Google Scholar 

  14. Brandt SJ, Thompson RL, Wenzel RP: Mycotic pseudoaneurysm of an aortic bypass graft and contiguous vertebral osteomyelitis due to Aspergillus fumigatus. Am J Med 79:259–261, 1985.

    Article  PubMed  CAS  Google Scholar 

  15. Bried JM, Galgiani JN: Coccidioides immitis infections in bones and joints. Clin Orthop 211:235–243, 1986.

    PubMed  Google Scholar 

  16. Bundens DA, Rechtine GR: Sarcoidosis of the spine. Spine 11:209–212, 1986.

    Article  PubMed  CAS  Google Scholar 

  17. Byrne FO, Thrall TM, Wheat LJ: Hematogenous vertebral osteomyelitis: Pasturella multocida as the causative agent. Arch Intern Med 139:1182–1183, 1979.

    Article  PubMed  CAS  Google Scholar 

  18. Chari PR: Haematogenous pyogenic osteomyelitis of the spine: A study of 17 cases. Aust NZ J Surg 42:381–389, 1973.

    Article  CAS  Google Scholar 

  19. Clinicopathologic Conference: Case 12. N Engl J Med 307:729–737, 1982.

    Article  Google Scholar 

  20. Clinicopathologic Conference: Case 33. N Engl J Med 311:455–462, 1984.

    Article  Google Scholar 

  21. Clinicopatholigic Conference: Case 37. N Engl J Med 315:748–754, 1986.

    Article  Google Scholar 

  22. Cloward RB: Metastatic disc infection and osteomyelitis of the cervical spine. Spine 3:194–201, 1978.

    Article  PubMed  CAS  Google Scholar 

  23. Collert S: Osteomyelitis of the spine. Acta Orthop Scand 48:283–290, 1977.

    Article  PubMed  CAS  Google Scholar 

  24. Craig JB: Cervical spine osteomyelitis with delayed onset tetraparesis after penetrating wounds of the neck. S Afr Med J 69:197–199, 1986.

    PubMed  CAS  Google Scholar 

  25. D’Elia JA, Coopan R, Younger D, Schoenbaum S, Freidberg S: Letter to the Editor. JAMA 241:29, 1979.

    Article  PubMed  Google Scholar 

  26. Deveraux MD, Hazelton RA: Pyogenic spinal osteomyelitis—Its clinical and radiologic presentation. J Rheumatol 10:491–493, 1983.

    Google Scholar 

  27. Digby JM, Kersley JB: Pyogenic nontuberculous spinal infection: An analysis of thirty cases. J Bone Joint Surg 61B:47–55, 1979.

    Google Scholar 

  28. Dutt A, Moers D, Stead WW: Short course chemotherapy for extrapulmonary tuberculosis. Ann Intern Med 104:7–12, 1986.

    PubMed  CAS  Google Scholar 

  29. Editoral. Lancet 2, 137–138, 1974.

    Google Scholar 

  30. Eismont FJ, Bohlman HH, Soni PL, Goldberg M, Freehafer AA: Pyogenic and fungal vertebral osteomyelitis with paralysis. J Bone Joint Surg 65 A: 19–29, 1983.

    Google Scholar 

  31. Forlenza SW, Axelrod JL, Grieco MH: Pott’s disease in heroin addicts. JAMA 241:379–380, 1979.

    Article  PubMed  CAS  Google Scholar 

  32. Forsythe M, Rothman RH: New concepts in the diagnosis and treatment of infections of the cervical spine. Orthop Clin North Am 9:1039–1051, 1978.

    PubMed  CAS  Google Scholar 

  33. Frederickson B, Yuan H, Olan R: Management and outcome of pyogenic vertebral osteomyelitis. Clin Orthop 131:160–167, 1978.

    PubMed  Google Scholar 

  34. Freehafer AA, Furey JG, Pierce DS: Pyogenic osteomyelitis of the spine resulting in spinal paralysis. J Bone Joint Surg 44A:710–716, 1962.

    Google Scholar 

  35. Garcia A, Grantham SA: Hematogenous pyogenic vertebral osteomyelitis. J Bone Joint Surg 42A:429–436, 1960.

    Google Scholar 

  36. Garrido E, Rosenwasser RH: Experience with the suction-irrigation technique in the management of spinal epidural infection. Neurosurgery 12(6):678–679, 1983.

    Article  PubMed  CAS  Google Scholar 

  37. Genster HG, Anderson MJF: Spinal osteomyelitis complicating urinary tract infection. J Urol 107:109–111, 1972.

    PubMed  CAS  Google Scholar 

  38. Glasgow MMS: Brucellosis of the spine. Br J Surg 63:283–288, 1976.

    Article  PubMed  CAS  Google Scholar 

  39. Gold RH, Bassett LW: Radionuclide evaluation of skeletal metastases: Practical considerations. Skeletal Radiol 15:1–9, 1986.

    Article  PubMed  CAS  Google Scholar 

  40. Gorse GJ, Pais MJ, Kusske JA, Cesario TC: Tuberculous spondylitis: A report of six cases and a review of the literature. Medicine 62:178–193, 1983.

    Article  PubMed  CAS  Google Scholar 

  41. Griffiths DL: Tuberculosis of the spine: A review. Adv Tuberc Res 29:92–110, 1980.

    Google Scholar 

  42. Griffiths HED, Jones DM: Pyogenic infection of the spine. A review of twenty-eight cases. J Bone Joint Surg 53B:383–391, 1971.

    Google Scholar 

  43. Haddon WA, Swanson AJG: Spinal infection caused by acupuncture mimicking prolapsed intervertebral disc. J Bone Joint Surg 64A:624–626, 1982.

    Google Scholar 

  44. Harries B: Spinal cord compression I, II. Br Med J 1:611–614, 673–676, 1970.

    Article  PubMed  CAS  Google Scholar 

  45. Hayes WS, Berg RA, Dorfman HD, Freedman MT: Case report. Skeletal Radiol 12:284–287, 1984.

    Article  PubMed  CAS  Google Scholar 

  46. Henson SW, Coventry MB: Osteomyelitis of the vertebrae as the result of infection of the urinary tract. Surg Gynecol Obstet 102:207–214, 1956.

    PubMed  Google Scholar 

  47. Hirschmann JV, Everett ED: Candida vertebral osteomyelitis. J Bone Joint Surg 58A:573–575, 1976.

    Google Scholar 

  48. Hodgson AR, Yau A, Kwon JS, Kim D: Clinical study of 100 consecutive cases of Pott’s paraplegia. Clin Orthop 00:128–150, 1964.

    Google Scholar 

  49. Holzman RS, Bishko F: Osteomyelitis in heroin addicts. Ann Intern Med 75:693–696, 1971.

    PubMed  CAS  Google Scholar 

  50. Jaffe HL: Metabolic, Degenerative, and Inflammatory Diseases of Bones and Joints. Philadelphia, Lea & Febiger, 1972.

    Google Scholar 

  51. Jordan MC, Kirby WM: Pyogenic vertebral osteomyelitis. Arch Intern Med 128:405–410, 1971.

    Article  PubMed  CAS  Google Scholar 

  52. Kahn DS, Pritzker KPM: The pathophysiology of bone infection. Clin Orthop 96:12–19, 1973.

    PubMed  Google Scholar 

  53. Kashimoto T, Kitagawa H, Kachi H: Candida tropicalis vertebral osteomyelitis and discitis. Spine 11:57–61, 1986.

    Article  PubMed  CAS  Google Scholar 

  54. Kattapuram SV, Phillips WC, Boyd R: CT in pyogenic osteomyelitis of the spine. AJR 140:1199–1201, 1983.

    PubMed  CAS  Google Scholar 

  55. Kemp HB, Jackson JW, Jeremiah JD, Hall AJ: Pyogenic infections occurring primarily in intervertebral disks. J Bone Joint Surg 55B:698–714, 1960.

    Google Scholar 

  56. King DM, Mayo KM: Infective lesions of the vertebral column. Clin Orthop 96:248–253, 1973.

    PubMed  Google Scholar 

  57. Kornberg M, Rechtine GR, Dupy TE: Unusual presentation of spinal osteomyelitis: A changing disease. Spine 10:104–107, 1985.

    Article  PubMed  CAS  Google Scholar 

  58. Kulowski J: Pyogenic osteomyelitis of the spine. J Bone Joint Surg 18:343–364, 1936.

    Google Scholar 

  59. Laredo JD, Reizine D, Bard M, Merland JJ: Vertebral hemangiomas: Radiologic evaluation. Radiology 161:183–189, 1986.

    PubMed  CAS  Google Scholar 

  60. Larde D, Mathieu D, Frija J, Gaston A, Vasile W: Vertebral osteomyelitis. Disk hypotensity on CT. AJR 139:963–967, 1982.

    PubMed  CAS  Google Scholar 

  61. Leigh TF, Kelly RP, Weens HS: Spinal osteomyelitis associated with urinary tract infections. Radiology 65:334–342, 1955.

    PubMed  CAS  Google Scholar 

  62. Leonard A, Comty CM, Shapiro FL, Raij L: Osteomyelitis in hemodialysis patients. Ann Intern Med 78:651–658, 1973.

    PubMed  CAS  Google Scholar 

  63. Levack B, Kernohan J, Edgar MA, Ransford AO: Observations on the current and future surgical management of hydatid disease affecting the vertebrae. Spine 11:583–590, 1986.

    Article  PubMed  CAS  Google Scholar 

  64. Lewis RP, Sutter VL, Finegold SM: Bone infections involving anaerobic bacteria. Medicine 57:279–302, 1978.

    Article  PubMed  CAS  Google Scholar 

  65. Lichenstein L: Disease of Bone and Joints. St. Louis, CV Mosby, 1975.

    Google Scholar 

  66. LiFeso RM, Harder E, McCorkell SJ: Spinal brucellosis. J Bone Joint Surg 67B:345–351, 1985.

    Google Scholar 

  67. Masters DL, Lentino JR: Cervical osteomyelitis related to Nocardia aSteroides. J Infect Dis 149:824–825, 1984.

    Article  PubMed  CAS  Google Scholar 

  68. Matsushita T, Suzuki K: Spastic paraparesis due to cryptococcal osteomyelitis. Clin Orthop 196:279–284, 1985.

    PubMed  Google Scholar 

  69. Matthai WH, Weikel CS, McDermott AM, Wenzel RP: Streptococcus bovis endocarditis with vertebral osteomyelitis. South Med J 79:1192–1193, 1986.

    Article  PubMed  Google Scholar 

  70. McHenry MC, Alfidi RJ, Wilde AH, Hawk WA: Hematogenous osteomyelitis: A changing disease. Cleve Clin Q 42:125–153, 1975.

    PubMed  CAS  Google Scholar 

  71. McKee DF, Barr WM, Bryan CS, Lunceford EM Jr: Primary aspergillosis of the spine mimicking Pott’s paraplegia. J Bone Joint Surg 66A:1481–1483, 1981.

    Google Scholar 

  72. Medical Research Council: Controlled trial of anterior spinal fusion and debridement in the surgical management of tuberculosis of the spine in patients on standard chemotherapy: A study in Hong Kong. Br J Surg 61:853–866, 1974.

    Article  Google Scholar 

  73. Mintz L, Mollett GH: Serratia vertebral osteomyelitis in narcotic addicts. Ann Intern Med 83:668–677, 1975.

    PubMed  CAS  Google Scholar 

  74. Modic MT, Feiglin DH, Piraino DW, Boumphrey F, Weinstein MA, Duchesneau PM, Rehm S: Assessment of vertebral osteomyelitis using MR. Radiology 157:157–166, 1985.

    PubMed  CAS  Google Scholar 

  75. Moxley GF, Moffatt TL, Falls WF: Hemodi-alysis-related osteomyelitis. South Med J 73:376–378, 1980.

    Article  PubMed  CAS  Google Scholar 

  76. Muhle I, Rav J, Ruskin J: Vertebral osteomyelitis due to Actinobacillus actinomycetencomitans. JAMA 241:1824–1825, 1979.

    Article  PubMed  CAS  Google Scholar 

  77. Musher DM, Fletcher T: Tolerant Staphylococcus aureus causing vertebral osteomyelitis. Arch Intern Med 142:632–634, 1982.

    Article  PubMed  CAS  Google Scholar 

  78. Mucher DM, Thorsteinsson SB, Minuth JN, Luchi RL: Vertebral osteomyelitis: Still a diagnostic pitfall. Arch Intern Med 136:105–110, 1976.

    Article  Google Scholar 

  79. Nasca RJ, McElvein RB: Aspergillus fumigatus osteomyelitis of the thoracic spine treated by excision and interbody fusion. Spine 10:848–850, 1985.

    Article  PubMed  CAS  Google Scholar 

  80. Ninet J, Gayet JL, Etienne J, Bonvoisin B, Vignon E, Berthou JD, Delahaye JP, Pasquier J, Delaye J, Normand J: Bacterial endocarditis presenting as acute vertebral osteomyelitis: 14 cases. Eur Hear J 5(suppl C): 101–105, 1984.

    Google Scholar 

  81. Parke WW: Applied anatomy of the spine, The Spine, Rothman RH, Simeone FA (eds). Philadelphia, WB Saunders, 1980.

    Google Scholar 

  82. Parker MA, Tuazon CV: Cervical osteomyelitis. JAMA 240:50–51, 1978.

    Article  PubMed  CAS  Google Scholar 

  83. Petty BG, Burrow CR, Robinson RA, Bulkley GA: Hemophilus aphrophilus meningitis followed by vertebral osteomyelitis and suppurative psoas abscess. Am J Med 78:159–162, 1985.

    Article  PubMed  CAS  Google Scholar 

  84. Prossor IM, Merkel KD, Fitzgerald RH Jr, Brown ML: Roentgenograph and radionuclide detection of musculoskeletal sepsis, in Musculoskeletal Infections, Hughes SPF, Fitzgerald RH Jr (eds). Chicago, Year Book Medical Publishers, 1986.

    Google Scholar 

  85. Raff MJ, Melo JC: Anaerobic osteomyelitis. Medicine 57:83–103, 1978.

    Article  PubMed  CAS  Google Scholar 

  86. Ratcliffe JF: Anatomic basis for the pathogenesis and radiologic features of vertebral osteomyelitis and its differentiation from childhood discitis. Acta Radiol (Diagn) 26:137–143, 1985.

    CAS  Google Scholar 

  87. Ratcliffe JF: Arterial changes in the human vertebral body associated with aging. Spine 11:235–240, 1986.

    Article  PubMed  CAS  Google Scholar 

  88. Ray MJ, Bassett RL: Pyogenic vertebral osteomyelitis. Orthopedics 8:506–513, 1985.

    Google Scholar 

  89. Relier LB: The serum bactericidal test. Rev Infect Dis 8:803–806, 1986.

    Article  Google Scholar 

  90. Robbins N, Wisoff HS, Klein RS: Case report: Vertebral osteomyelitis caused by Streptococcus bovis. Am J Med Sci 291:128–129, 1986.

    Article  PubMed  CAS  Google Scholar 

  91. Roca RP, Yoshikawa TT: Primary skeletal infections in heroin users. Clin Orthop 144:238–247, 1979.

    PubMed  Google Scholar 

  92. Roselle GA, Baird IM: Aspergillus flavus group osteomyelitis. Arch Intern Med 139:590–592, 1979.

    Article  PubMed  CAS  Google Scholar 

  93. Ross PM, Fleming JL: Vertebral body osteomyelitis: Spectrum and natural history. Clin Orthop 118:190–198, 1976.

    PubMed  Google Scholar 

  94. Rowlings CE, Wilkins RH, Gallis HA, Goldner JL, Francis R: Postoperative intervertebral disc space infection. Neurosurgery 13:371–376, 1983.

    Article  Google Scholar 

  95. Sapico F, Montgomery JL: Pyogenic vertebral osteomyelitis: Report of nine cases and review of the literature. Rev Infect Dis 5:754–776, 1979.

    Article  Google Scholar 

  96. Seligsohn R, Rippon JW, Lerner SA: Aspergillus terreus osteomyelitis. Arch Intern Med 137:918–920, 1977.

    Article  PubMed  CAS  Google Scholar 

  97. Silberstein HB, Schneider HJ, Khodadad J, DeVries D, Rauf C: Laminectomy: Effects on postoperative technetium and gallium scintigraphy. Radiology 151:785–787, 1984.

    PubMed  CAS  Google Scholar 

  98. Slagel S, Skiendzielewski JJ, McMurry FG: Osteomyelitis of the cervical spine: Reversible quadraplegia resulting from Philadelphia collar placement. Ann Emerg Med 14:912–915, 1985.

    Article  PubMed  CAS  Google Scholar 

  99. Smith MA, Trowers NRH, Klein RS: Cervical osteomyelitis caused by Pseudomonas cepacia in an intravenous drug abuser. J Clin Microbiol 21:445–446, 1985.

    PubMed  CAS  Google Scholar 

  100. Stauffer RN: Pyogenic vertebral osteomyelitis. Orthop Clin North Am 6(4): 1015–1026, 1975.

    PubMed  CAS  Google Scholar 

  101. Stone DB, Bonfiglio M: Pyogenic vertebral osteomyelitis. Arch Intern Med 112:491–500, 1963.

    PubMed  CAS  Google Scholar 

  102. Thomas PH, Allai J, Bontoux D, Rossi F, Poupet JY, Petitalot JP, Becq-Giraudon B: Rheumatologie manifestations of infective endocarditis Ann Rheum Dis 43:716–720, 1984.

    Article  PubMed  CAS  Google Scholar 

  103. Turek SL: Orthopedics. Philadelphia, Lippincott, 1984.

    Google Scholar 

  104. Waisbren BA: Pyogenic osteomyelitis and arthritis of the spine treated with combinations of antibiotics and gamma globulin. J Bone Joint Surg 42A.414–429, 1960.

    Google Scholar 

  105. Waldvogel FA: Treatment of osteomyelitis and septic arthritis. Bull NY Acad Med 58:733–749, 1982.

    CAS  Google Scholar 

  106. Waldvogel FA, Medoff G, Swartz MN: Osteomyelitis: A review of clinical features, therapeutic considerations and unusual aspects. N Engl J Med 282:198–206, 260–266, 316–322, 1970.

    Article  PubMed  CAS  Google Scholar 

  107. Waldvogel FA, Vasey H: Osteomyelitis: The past decade. N Engl J Med 303:360–370, 1980.

    Article  PubMed  CAS  Google Scholar 

  108. Watanakunakorn C, Trott A: Vertebral osteomyelitis due to Mycobacterium kansasii. Am Rev Respir Dis 107:846–853, 1973.

    PubMed  CAS  Google Scholar 

  109. Wear JB, Baylin GJ, Martin TL: Pyogenic vertebral osteomyelitis of the spine. Am J Roentgenol, Rad Ther Nucl Med 67:90–94, 1952.

    CAS  Google Scholar 

  110. Weaver P, Lifeso RM: The radiologic diagnosis of tuberculosis of the adult spine. Skeletal Radiol 12:178–186, 1984.

    Article  PubMed  CAS  Google Scholar 

  111. Wedge JH, Oryschak AF, Robertson DE, Kirkaldy-Willis WH: Atypical manifestation of spinal infections. Clin Orthop 123:155–163, 1977.

    PubMed  Google Scholar 

  112. Wiley AM, Trueta J: The vascular anatomy of the spine and its relationship to pyogenic vertebral osteomyelitis. J Bone Joint Surg 41:796–809, 1959.

    Google Scholar 

  113. Witorsch P, Utz JP: North American blastomycosis: A study of forty patients. Medicine 47:169–200, 1968.

    Article  PubMed  CAS  Google Scholar 

  114. Wright RL: Infections of the spine and spinal cord, in Neurological Surgery, Youmans JR (ed). Philadelphia, WB Saunders, 1982.

    Google Scholar 

  115. Yanoff DB, Church ML: Nocardial vertebral osteomyelitis. Clin Orthop 175:223–226, 1983.

    PubMed  Google Scholar 

  116. Young EJ: Human brucellosis. Rev Infect Dis 5:821–842, 1983.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. Elizabeth A. Piercy
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. James W. Smith
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Temple University School of Medicine, Philadelphia, Pennsylvania, 19125, USA

    David Schlossberg M.D., F.A.C.P. (Professor of Medicine, Director) (Professor of Medicine, Director)

  2. Department of Medicine, Episcopal Hospital, Philadelphia, Pennsylvania, 19125, USA

    David Schlossberg M.D., F.A.C.P. (Professor of Medicine, Director) (Professor of Medicine, Director)

Rights and permissions

Reprints and permissions

Copyright information

© 1988 Springer-Verlag New York Inc.

About this chapter

Cite this chapter

Piercy, E.A., Smith, J.W. (1988). Vertebral Osteomyelitis. In: Schlossberg, D. (eds) Orthopedic Infection. Clinical Topics in Infectious Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-3870-6_3

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-3870-6_3

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-8383-6

  • Online ISBN: 978-1-4612-3870-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation