Research hotspots and development trends of

Objective: With the growing emphasis on global health issues, Method: The data were sourced from the Web of Science Core Collection database, covering the period from January 1, 1984, to December 31, 2023. Network analyses of countries, institutions, authors, and keyword collaborations, as well as co-citation analyses of journals and references, were conducted using CiteSpace software. VOSviewer software was used to analyze the co-occurrence and hotspots of keywords. Result: A total of 246 relevant documents were retrieved, comprising 221 articles and 25 review articles. From 1984 to 2023, the number of research publications exhibited a generally fluctuating upward trend. Turkey and China emerged as the primary contributing countries in this field, with Xinjiang Medical University identified as the most productive research institution. Additionally, Juan D. Colmenero is recognized as the author with the highest number of published articles and citations. "Clinical Infectious Diseases" is regarded as the most influential journal in this domain. Among the 404 keywords analyzed by CiteSpace, the top 10 high-frequency keywords included spondylitis, complication, melitensis, osteoarticular complication, diagnosis, infection, clinical characteristics, epidural abscess, arthritis, and feature. A total of 14 clusters were formed. In the burst analysis of the top 15 keywords, "instrumentation" exhibited the highest burst intensity, while "arthritis" demonstrated the longest burst duration. Emerging keywords include "experience," "ankylosing spondylitis," "China," and "instrumentation." Conclusion: This study is the first bibliometric analysis in the field of