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Spinal epidural abscess successfully treated with biportal endoscopic spinal surgery
- Source :
- Medicine
- Publication Year :
- 2019
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2019.
-
Abstract
- Surgical decompression and antibiotic therapy are the treatments of choice for patients with spinal epidural abscess (SEA). Surgical treatment included decompression, evacuation of abscess, and debridement. Recently, minimal invasive surgery has been introduced more widely, and biportal endoscopic spinal surgery have shown satisfactory clinical outcomes compared with traditional open surgery. The purpose of this study was to evaluate the efficacy of biportal endoscopic spinal surgery for the treatment of SEA . From January 2016 to June 2017, 13 patients who underwent biportal endoscopic spinal surgery under the diagnosis of SEA were retrospectively enrolled in this study. The surgical indications of the enrolled patients included SEA with or without early stage spondylodiscitis who had neurological symptoms. Periopertaive data and clinical outcomes were assessed by regular serologic testing, imaging studies, physical examination, visual analog scale, Oswestry Disability Index and modified Macnab criteria. Offending pathogens were identified in seven (54%) of 13 biopsy specimens. Appropriate intravenous antibiotics for the identified pathogens isolated from infected tissue biopsy cultures were administrated to patients for at least 30 days. All patients reported satisfactory relief of pain and neurological symptoms after surgery. No surgery-related complications and recurrences were found after 2 years follow up. Biportal endoscopic spinal surgery may be an effective alternative to traditional open surgical decompression for the treatment of SEA.
- Subjects :
- Adult
Male
Spondylodiscitis
medicine.medical_specialty
Visual analogue scale
Decompression
Biopsy
Observational Study
Physical examination
Neurosurgical Procedures
03 medical and health sciences
0302 clinical medicine
medicine
Humans
030212 general & internal medicine
spinal epidural abscess
Abscess
minimally invasive surgery
Aged
Retrospective Studies
Lumbar Vertebrae
biportal endoscopic spinal surgery
medicine.diagnostic_test
business.industry
Endoscopy
Retrospective cohort study
General Medicine
Middle Aged
Decompression, Surgical
medicine.disease
Magnetic Resonance Imaging
Surgery
Oswestry Disability Index
Treatment Outcome
Debridement
Epidural Abscess
030220 oncology & carcinogenesis
Female
business
Follow-Up Studies
Research Article
Subjects
Details
- ISSN :
- 15365964 and 00257974
- Volume :
- 98
- Database :
- OpenAIRE
- Journal :
- Medicine
- Accession number :
- edsair.doi.dedup.....87a858373546d6c9212bfa1ca4031bf6