Strengthen the understanding and standardize the systematic treatment of brucellosis spondylitis / 中华骨科杂志

ABSTRACT

Brucellosis spondylitis (BS) is a kind of brucellosis, accounting for 2% to 53% of the incidence of brucellosis. In recent years, the disease is prevalent in China because of the development of aquaculture and the increase of urban pet raising. At present, the pathological characteristics of BS are not well understood and the treatment is not standardized. Therefore, this paper mainly summarized the diagnosis, differential diagnosis and treatment of BS, combined with the author's experience and relevant studies in recent years, so as to provide guidance for the diagnosis and treatment of BS in clinical work. The current BS standard clinical diagnosis also relies on epidemiological history, clinical manifestations, imaging manifestations and laboratory examination for comprehensive diagnosis. Only diagnose from a certain aspect of the disease might lead to misdiagnosis or missed diagnosis, easy to misdiagnosis or missed diagnosis. Although BS has some specific clinical features, it is sometimes clinically required to be differentiated from spinal tuberculosis and spinal tumor, especially from spinal tuberculosis. Drug therapy is the most basic or important part of BS treatment, while surgical treatment is an important means of BS treatment. At present, there is a lack of high-quality clinical researches on BS in China, and most of the researches on BS are clinical experience summary, lacking randomized controlled trial research. Therefore, the multi-center study of BS plays an important role in the standardized treatment of BS.