2011, nr. 1 - Academia de Ştiinţe a Moldovei

116
Concluzii
Spondilodiscita este o problemă a cărei importanţă,
pe de o parte, este subestimată sau omisă frecvent,
iar pe de altă parte, se agravează pe an ce trece
în contextul unei sporiri a numărului intervenţiilor
chirurgicale pe coloana vertebrală cat și a ponderii
persoanelor vârstnice și imunocompromise.
Diagnosticul spondilodiscitelor este uneori difi -
cil și cunoașterea particularităţilor clinice, precum și
a formelor atipice este indispensabilă pentru stabilirea
unui diagnostic corect și timpuriu. Pe primul plan în
stabilirea diagnosticului discitelor se situează examenul
imagistic (RMN) și cel bacteriologic.
La temelia unui tratament efi cient al spondilodiscitelor
întotdeauna se va afl a examenul microbiologic,
iar în cazurile în care acesta eșuează, tratamentul va fi
ajustat în funcţie de etiologia cea mai probabilă a maladiei,
dedusă din situaţia clinică prezentă și ghidată
de rezultatele studiilor clinice precedente.
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