DIAGNOSIS

• Anamnesis
• Nyeri punggung atau leher yang terus menerus
• Riwayat Demam subfebril
• Gejala neurologis
• Gejala konstitusional
• Riwayat operasi sebelumnya? Diabetes?
Penggunaan obat immunosupresif? Penggunaan
obat intravena? Kondisi imunosupresif lain?

Vialle et. Al, AOSpine Masters Series, Volume 10: Spinal Infections (ISBN 978-1-62623-455-05), copyright 2018 Thieme
Medical Publishers. All right reserved. Usage subject to terms and conditions of license.
 DIAGNOSIS

• Pemeriksaan Fisik
• Spasme otot paravertebral
• Keterbatasan gerak tulang belakang
• Demam subfebril
• Epidural abses  nyeri pada straight leg test
• Kondisi lanjut  Deformitas spine, epidural
abses

Vialle et. Al, AOSpine Masters Series, Volume 10: Spinal Infections (ISBN 978-1-62623-455-05), copyright 2018 Thieme
Medical Publishers. All right reserved. Usage subject to terms and conditions of license.
 DIAGNOSIS

• Pemeriksaan Penunjang

• Laboratorium : Leukositosis, ESR ↑, C-Reactive Protein (+)

• X-Ray  pada tahap awal tampak normal

• MRI

• FDG-PET

• CT-Scan

• Kultur

• Percutaneous CT-guided needle and open biopsies

• PCR

Vialle et. Al, AOSpine Masters Series, Volume 10: Spinal Infections (ISBN 978-1-62623-455-05), copyright 2018 Thieme
Medical Publishers. All right reserved. Usage subject to terms and conditions of license.