目的探讨布鲁菌性脊柱炎的诊断与治疗方法。方法报告1例非疫区布鲁菌性脊柱炎患者,并复习相关文献。结果该例患者经系统药物治疗后,症状明显改善。结论对于可疑病例,应认真分析临床症状与体征,及时进行布病血清学检查,并结合以磁共振为主的影像学资料作出诊断;对于确诊病例,应给予系统药物治疗,必要时进行手术干预。 Objective To investigate the diagnosis and treatment of Bruch’s spondylitis. Methods One patient with Brucella spondylitis in non-infected area was reported, and the related literature was reviewed. Results The patient was treated with systemic drugs, the symptoms were significantly improved. Conclusions For suspected cases, clinical symptoms and signs should be carefully analyzed, serology of brucellosis should be timely diagnosed and combined with MRI-based imaging data to make diagnosis. For the confirmed cases, systematic medical treatment should be given and if necessary, surgical intervention .