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- Talk
- 21/09/2023
- UK
Spinal Revalidation Session: Inflammatory Spinal Conditions Infection
Description
In this presentation, Dr. Sandra Bonczek discusses inflammatory spinal conditions and infections, employing a case-based approach to illustrate key concepts and clinical considerations.
The session begins with an introduction where Dr. Bonczek outlines the aim to provide a practical, case-focused understanding rather than reiterating guideline content. The first case involves a 34-year-old female with hereditary sensory autonomic neuropathy presenting with back pain and spinal deformity. Radiological examinations reveal significant spinal abnormalities like spondylolisthesis, prompting the discussion of potential surgical interventions as her condition evolves.
In the second case, Dr. Bonczek examines a 54-year-old male with fever and neck pain, ultimately diagnosed with a significant epidural abscess due to spondylodiscitis. This case highlights the importance of diagnosing and managing infections versus inflammatory conditions. The discussion emphasizes the need for careful assessment to avoid unnecessary surgical interventions when conservative management may be appropriate.
The presentation continues with a complex case of a 48-year-old woman with ankylosing spondylitis leading to myelopathy, focusing on the management of deformity and neurological symptoms. Dr. Bonczek elaborates on the strategies employed in surgery and post-operative care.
A final case features a 62-year-old man with a pathological thoracic spine fracture who presents a diagnostic challenge due to negative findings from several tests. This mystery case underscores the necessity of ongoing observation and the challenges faced in diagnosing spinal issues with non-specific symptoms.
Dr. Bonczek wraps up the presentation by emphasizing the importance of accurate diagnosis, understanding surgical goals, and managing complications in the treatment of spinal conditions.