Diskitis
Since the early 1900s, Baylor’s orthopaedics program has been helping people feel better. We perform nearly 12,500 orthopaedic surgeries every year. In addition to orthopaedic specialists on the medical staff at many Baylor facilities, we also offer focused centers including the Baylor Scoliosis Center, Baylor Spine Center, the Human Motion and Performance Lab and specialized outpatient therapy programs. Baylor University Medical Center at Dallas has also been named one of the top 50 orthopaedic programs in the nation by U.S. News & World Report. Learn more about our comprehensive orthopaedic programs across the metroplex.
| Sections: | |||||||||||
Definition
Diskitis is swelling (inflammation) and irritation of the space between the bones of the spine (intervertebral disk space).
Alternative Names
Disk inflammation
Causes
Diskitis is an uncommon condition. It is usually seen in children younger than age 10.
Diskitis can be caused by a bacterial or viral infection. Or it can be caused by other inflammation, such as from autoimmune diseases (conditions in which the immune system mistakenly attacks certain cells in the body). The upper back (thoracic) and low back (lumbar) disks are most commonly affected.
Diskitis can also be confused with problems related to hip pain.
Symptoms
- Abdominal pain
- Back pain
- Difficulty getting up and standing
- Increased curvature of the back
- Irritability
- Low-grade fever (less than 102 degrees Fahrenheit)
- Refusal to sit up, stand, or walk (younger child)
- Stiffness in back
Exams and Tests
Treatment
The goal is to treat the cause of the inflammation and reduce pain. Your child may receive anti-staphylococcal antibiotics if the health care provider suspects an infection. Autoimmune diseases are often treated with anti-inflammatory medications.
If the condition does not improve steroids may be given, although an infection should be ruled out first. Pain may be relieved with oral painkillers (analgesics) or nonsteroidal anti-inflammatory drugs (NSAIDS). Talk to the health care provider about the best choice of medications.
Bed rest or immobilization (which may require a body cast) may be recommended in some cases.
Outlook (Prognosis)
Children with an infection should fully recover after treatment. Chronic back pain from this condition is very rare.
In cases of autoimmune disease, the outcome depends on the condition. These are often chronic illnesses.
Possible Complications
- Persistent back pain (rare)
- Side effects of medications
When to Contact a Medical Professional
Call your health care provider if your child has persistent back pain or problems with standing and walking that seem unusual for his or her age.
References
Cottle L, Riordan T. Infectious spondylodiscitis. J Infect. 2008;56:401-412.
Reviewed By: Andrew L. Chen, MD, MS, Orthopedist, The Alpine Clinic, Littleton, NH. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
