Surgical management of an extensive spinal epidural abscess: illustrative cases

Author:

Eroshkin Aleksey1,Romanukha Dmytro1,Voitsekhovskyi Serhiy2

Affiliation:

1. Department of Neurosurgery, Central Hospital of Ministry of Internal Affairs of Ukraine (Central Police Hospital), Kyiv, Ukraine; and

2. Bogomolets National Medical University, Kyiv, Ukraine

Abstract

BACKGROUNDExtensive spinal epidural abscesses (SEAs) occupying three or more spinal regions are rare. This study aimed to address the key dilemma of surgical treatment for holospinal epidural abscesses, i.e., to determine the required scope of surgery and minimize surgical trauma with adequate purulent drainage.OBSERVATIONSTwo patients with extensive SEAs were treated at the Neurosurgery Department of the Central Hospital of Ministry of Internal Affairs of Ukraine from 2018 to 2020. Both patients had a neurological deficit and general inflammatory response syndrome. Spinal magnetic resonance examinations were performed, showing that the first and second patients had extensive SEAs at T11/S1 and C2/L1, respectively. Both underwent minimally invasive abscess drainage via intra- and translaminar access at the most caudal point using an epidural silicone catheter in the cranial direction along the entire length of the abscess.LESSONSTo achieve the key goal of extensive SEA treatment, i.e., to prevent the development of a persistent neurological deficit, immediate effective spinal canal decompression should be performed. Access method and scope should meet the requirements of spinal canal decompression and purulent content aspiration to the greatest possible extent while inducing minimal trauma.

Publisher

Journal of Neurosurgery Publishing Group (JNSPG)

Subject

Management Science and Operations Research,Mechanical Engineering,Energy Engineering and Power Technology

Reference44 articles.

1. Minimally invasive spine surgery in the treatment of pyogenic spondylodiscitis: an initial retrospective series study;Yuan;Wideochir Inne Tech Malo Inwazyjne,2019

2. Spinal epidural abscess: a meta-analysis of 915 patients;Reihsaus;Neurosurg Rev,2000

3. A staged treatment algorithm for spinal infections;Stüer;J Neurol Surg A Cent Eur Neurosurg,2013

4. Surgical treatment of tuberculous spondylodiscitis;Pola;Eur Rev Med Pharmacol Sci,2012

5. Surgical treatment of tuberculous spondylodiscitis;Pola;Eur Rev Med Pharmacol Sci,2012

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Spinal Epidural Abscess;Current Emergency and Hospital Medicine Reports;2024-01-22

2. Extensive spinal epidural abscess caused by Staphylococcus epidermidis: A case report and literature review;Frontiers in Surgery;2023-03-08

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3