Treatment strategies and outcome in patients with non-tuberculous spinal epidural abscess - A review of 46 cases

Minimally Invasive Neurosurgery

Volumn 51, Issue 1, 2008, Pages 36-42

  Bostrom A ^a,c   Oertel, M ^a   Ryang, Y ^a   Rohde, V ^b   Burgel U ^a   Krings, T ^a   Korinth, M ^a  

^a UNIVERSITY HOSPITAL RWTH AACHEN   (Germany)

^b UNIVERSITY MEDICAL CENTER GÖTTINGEN   (Germany)

^c UNIVERSITY HOSPITAL BONN   (Germany)

Author keywords

Microsurgery; Spinal cord compression; Spinal epidural abscess

Indexed keywords

ANTIBIOTIC AGENT; CEFOTAXIME; CEFTAZIDIME; CEFTRIAXONE; CIPROFLOXACIN; CLINDAMYCIN; ERYTHROMYCIN; OXACILLIN; PENICILLIN G; VANCOMYCIN;

ABSCESS DRAINAGE; ADULT; AGED; ANTIBIOTIC THERAPY; ARTICLE; BACTERIAL MENINGITIS; CAUSAL ATTRIBUTION; CAUSE OF DEATH; CERVICAL SPINE; CHRONIC DISEASE; CLINICAL ARTICLE; COMPRESSION FRACTURE; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; CRITICAL ILLNESS; DECOMPRESSION SURGERY; DISEASE CLASSIFICATION; DISEASE EXACERBATION; DISEASE SEVERITY; ENTEROBACTER; EPIDURAL ABSCESS; FEMALE; FOLLOW UP; GRANULOMATOUS INFLAMMATION; HEART INFARCTION; HOSPITAL ADMISSION; HOSPITALIZATION; HUMAN; HYDROCEPHALUS; IMMOBILIZATION; LAMINECTOMY; LUMBAR SPINE; MALE; MEDICAL RECORD REVIEW; MENINGITIS; MICROSURGERY; NEUROLOGIC DISEASE; POSTOPERATIVE PERIOD; PSEUDOMONAS AERUGINOSA; PUNCTURE; REOPERATION; SEPSIS; SEPTICEMIA; SERRATIA MARCESCENS; SPINE DISEASE; STAPHYLOCOCCUS AUREUS; SURGICAL MORTALITY; SYMPTOMATOLOGY; THORACIC SPINE; TREATMENT DURATION; TREATMENT OUTCOME; VERTEBRA BODY;

ADULT; AGED; AGED, 80 AND OVER; BIOPSY; DECOMPRESSION, SURGICAL; EPIDURAL ABSCESS; EPIDURAL SPACE; FEMALE; HUMANS; MALE; MICROSURGERY; MIDDLE AGED; NEUROSURGICAL PROCEDURES; OSTEOMYELITIS; POSTOPERATIVE COMPLICATIONS; RECURRENCE; REOPERATION; RETROSPECTIVE STUDIES; SEVERITY OF ILLNESS INDEX; SPINAL CORD COMPRESSION; SPINE; TOMOGRAPHY, X-RAY COMPUTED; TREATMENT OUTCOME;

EID: 40649092314     PISSN: 09467211     EISSN: None     Source Type: Journal    
DOI: 10.1055/s-2007-1004547     Document Type: Article

References (26)

1. Khanna RK, Malik GM, Rock JP, Rosenblum ML. Spinal epidural abscess: evaluation of factors influencing outcome. Neurosurgery 1996; 39: 958-964
2. Soehle M, Wallenfang T. Spinal epidural abscesses: clinical manifestations, prognostic factors, and outcomes. Neurosurgery 2002; 51: 79-85 ; discussion: 86-77
3. Kuker W, Mull M, Mayfrank L, Topper R, Thron A. Epidural spinal infection. Variability of clinical and magnetic resonance imaging findings. Spine 1997; 22: 544-550 ; discussion: 551
4. Grieve JP, Ashwood N, O'Neill KS, Moore AJ. A retrospective study of surgical and conservative treatment for spinal extradural abscess. Eur Spine J 2000; 9: 67-71
5. Gelabert-Gonzalez M, Gonzalez-Garcia J, Fernandez-Villa JM, GarciaAallut A, Martinez-Rumbo R. Spinal epidural empyema Analysis of 14 cases. Neurocirugia (Astur) 2004; 15: 543-551 ; discussion: 551-542
6. Mann S, Schutze M, Sola S, Piek J. Nonspecific pyogenic spondylodiscitis: clinical manifestations, surgical treatment, and outcome in 24 patients. Neurosurg Focus 2004; 17: E3
7. Hadjipavlou AG, Mader JT, Necessary JT, Muffoletto AJ. Hematogenous pyogenic spinal infections and their surgical management. Spine 2000; 25: 1668-1679
8. Curry WT, Hoh BL, Amin-Hanjani S, Eskandar EN. Spinal epidural abscess: clinical presentation, management, and outcome. Surg Neurol 2005; 63: 364-371 ; discussion: 371
9. Modic MT, Feiglin DH, Piraino DW, Boumphrey F, Weinstein MA, Duchesneau PM, Rehm S. Vertebral osteomyelitis: assessment using MR. Radiology 1985; 157: 157-166
10. Frankel HL, Hancock DO, Hyslop G, Melzak J, Michaelis LS, Ungar GH, Vernon JD, Walsh JJ. The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia. I. Paraplegia 1969; 7: 179-192
11. Akalan N, Ozgen T. Infection as a cause of spinal cord compression: a review of 36 spinal epidural abscess cases. Acta Neurochir (Wien) 2000; 142: 17-23
12. Anand S, Maini L, Agarwal A, Singh T, Dhal AK, Dhaon BK. Spinal epidural abscess - a report of six cases. Int Orthop 1999; 23: 175-177
13. Rea GL, MacGregor JM, Miller CA, Miner ME. Surgical treatment of the spontaneous spinal epidural abscess. Surg Neurol 1992; 37: 274-279
14. Khan SH, Hattingh S, Griebel RW. Spinal epidural abscess. Can J Neurol Sci 2001; 28: 254-255
15. Tung GA, Yim JW, Mermel LA, Philip L, Rogg JM. Spinal epidural abscess: correlation between MRI findings and outcome. Neuroradiology 1999; 41: 904-909
16. Nussbaum ES, Rigamonti D, Standiford H, Numaguchi Y, Wolf AL, Robinson WL. Spinal epidural abscess: a report of 40 cases and review. Surg Neurol 1992; 38: 225-231
17. Mackenzie AR, Laing RB, Smith CC, Kaar GF, Smith FW. Spinal epidural abscess: the importance of early diagnosis and treatment. J Neurol Neurosurg Psychiatry 1998; 65: 209-212
18. Lyu RK, Chen CJ, Tang LM, Chen ST. Spinal epidural abscess successfully treated with percutaneous, computed tomography-guided, needle aspiration and parenteral antibiotic therapy: case report and review of the literature. Neurosurgery 2002; 51: 509-512 ; discussion: 512
19. Rigamonti D, Liem L, Sampath P, Knoller N, Namaguchi Y, Schreibman DL, Sloan MA, Wolf A, Zeidman S. Spinal epidural abscess: contemporary trends in etiology, evaluation, and management. Surg Neurol 1999; 52: 189-196 ; discussion: 197
20. Hlavin ML, Kaminski HJ, Ross JS, Ganz E. Spinal epidural abscess: a ten-year perspective. Neurosurgery 1990; 27: 177-184
21. Angtuaco EJ, MacConnell JR, Chadduck WM, Flanigan S. MR imaging of spinal epidural sepsis. AJR Am J Roentgenol 1987; 149: 1249-1253
22. Hanigan WC, Asner NG, Elwood PW. Magnetic resonance imaging and the nonoperative treatment of spinal epidural abscess. Surg Neurol 1990; 34: 408-413
23. Post MJ, Quencer RM, Montalvo BM, Katz BH, Eismont FJ, Green BA. Spinal infection: evaluation with MR imaging and intraoperative US. Radiology 1988; 169: 765-771
24. Lee MC, Wang MY, Fessler RG, Liauw J, Kim DH. Instrumentation in patients with spinal infection. Neurosurg Focus 2004; 17: E7
25. Tsiodras S, Falagas ME. Clinical assessment and medical treatment of spine infections. Clin Orthop Relat Res 2006; 444: 38-50
26. Lohr M, Reithmeier T, Ernestus RI, Ebel H, Klug N. Spinal epidural abscess: prognostic factors and comparison of different surgical treatment strategies. Acta Neurochir (Wien) 2005; 147: 159-166 ; discussion: 166