Maliner L I, Johnson D L
Division of Neurosurgery, Milton S. Hershey Medical Center, Hershey, PA 17033, USA.
Childs Nerv Syst. 1997 Feb;13(2):101-3; discussion 104. doi: 10.1007/s003810050053.
Discitis in children commonly presents with fever, back pain, irritability, and an inability to walk. An elevated ESR and characteristic changes on plain X-rays or bone scan are sufficient for diagnosis, but MRI is more sensitive and more specific, and it shows pathologic changes earlier. Intravenous antibiotics are administered when cultures of the disc space are positive, but in more than half of the cases, no organism can be grown. Symptoms are alleviated with bed-rest or external orthoses, but neither the duration nor the kind of symptomatic treatment influences outcome.
儿童椎间盘炎通常表现为发热、背痛、易怒和无法行走。血沉升高以及X线平片或骨扫描的特征性改变足以确诊，但磁共振成像（MRI）更敏感、更具特异性，且能更早显示病理变化。当椎间盘间隙培养阳性时给予静脉抗生素治疗，但超过半数病例无法培养出病原体。卧床休息或使用外部矫形器可缓解症状，但对症治疗的持续时间和类型均不影响预后。
