Spinal Infection Treatment Evaluation score [Neurosurgery Wiki]

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====== Spinal Infection Treatment Evaluation score ======

Scores >12:

These scores generally indicate a more severe spinal infection.
A high SITE score often correlates with factors such as abscess formation, significant vertebral body destruction, or pronounced symptoms.
Surgical intervention is usually considered necessary in these cases to address structural instability, decompress neural elements, and provide better access for infection control.
Scores ≤12:

Lower scores suggest less severe disease and are often amenable to conservative treatment.
Management typically involves:
Prolonged courses of intravenous and/or oral antibiotics.
Close clinical and radiological monitoring to ensure resolution of the infection.
Exceptions include:
Presence of neurological deficits due to compression (e.g., epidural abscess).
Spinal instability or significant deformity.
Lack of improvement with medical therapy.
This stratification helps tailor treatment strategies and improves decision-making, emphasizing the need for a thorough clinical evaluation in conjunction with the SITE score.

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