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Life sciences · Journal article
Revista Chilena De Neurocirugía · September 23, 2026
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Introduction: Infectious spondylodiscitis is an uncommon condition with increasing incidence, associated with significan morbidity and mortality, delayed diagnosis, prolonged hospitalization, and high healthcare costs. Its management remains challenging due to clinical heterogeneity, the need for timely microbiological diagnosis, and ongoing controversy regarding surgical indications. Objective: To develop a multidisciplinary institutional protocol aimed at optimizing the diagnosis, treatment, and follow-up of patients with infectious spondylodiscitis. Methods: A multidisciplinary working group was established, including specialists in Internal Medicine, Infectious Diseases, Spine Neurosurgery, Radiology, Microbiology, Rehabilitation Medicine, and Clinical Management. A narrative review of the available literature and relevant international clinical guidelines was conducted, incorporating recent evidence on diagnostic strategies, surgical criteria, and collaborative models of care. Based on these findings, a structured clinical management protocol was developed. Results: The TEAM- Spondylodiscitis model was developed, based on four main pillars: early diagnosis, prompt definition of surgical indications, targeted antimicrobial therapy, and structured outpatient follow-up. The protocol includes contrast-enhanced magnetic resonance imaging, blood cultures obtained prior to antibiotic initiation, percutaneous biopsy in selected cases, the use of severity (Pola) and mechanical stability (SISS) classifications, as well as prioritized interdisciplinary follow-up pathways. Conclusions: Implementation of a standardized multidisciplinary protocol for infectious spondylodiscitis may reduce diagnostic delays, improve therapeutic decision-making, decrease complications, and optimize hospital resource utilization. Its application may be particularly valuable in tertiary referral centers and healthcare systems with limited resources.