Postoperative Spinal Epidural EmpyemaClinical and Computed Tomography Features
作者:
ROBERTO SPIEGELMANN,
GIDEON FINDLER,
MEIR FAIBEL,
ZVI RAM,
ITZHACK SHACKED,
ABRAHAM SAHAR,
期刊:
Spine
(OVID Available online 1991)
卷期:
Volume 16,
issue 10
页码: 1146-1149
ISSN:0362-2436
年代: 1991
出版商: OVID
关键词: surgical wound infection;spine surgery;spinal epidural abscess;computed tomography
数据来源: OVID
摘要:
Epidural empyema is a rare complication of elective spinal surgery. Four such cases are described. The clinical features of this postoperative complication were surprisingly vague and misleading. Fever was uncommon. Local inflammatory signs or rapid neurologic deterioration were absent. Computerized tomography proved useful in diagnosis and follow-up. Unlike spontaneous spinal epidural abscess, postoperative spinal epidural empyema had a benign course. Causative bacteria were miscellaneous. Surgical evacuation of the purulent collection and appropriate antibiotic therapy resulted in cure in all cases.
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