Cervical spine epidural abscess: a single center analytical comparison to the literature.

Title

Cervical spine epidural abscess: a single center analytical comparison to the literature.

Creator

Shweikeh Faris; Hussain Mohammed; Sangtani Ajleeta; Issa Husam; Bashir Asif; Johnson J Patrick; Markarian Georges Z

Publisher

Spinal cord series and cases

Date

2017
1905-07

Description

STUDY DESIGN: Retrospective review of patient charts. OBJECTIVES: Cervical spine epidural abscess (CSEA) is uncommon. In this study, characteristics of CSEA patients are described through an institutional analysis and literature review. SETTING: University-affiliated city hospital. METHODS: The electronic medical record was searched from 01/2001 to 01/2012. Data on presentation, comorbidities, diagnostic modalities, pathogens, treatments, and neurological recovery were collected. RESULTS: Sixteen patients were identified with a mean age of 57.9 years (33-83). Nine were females. Common symptoms were neck/back pain (62.5%), neurological deficits (62.5%), and fever (31.3%). Comorbidities included cardiovascular disease (56.3%), renal disease (37.5%), and diabetes mellitus (37.5%). Lower levels were more likely afflicted (C5-C7). Microorganisms were commonly Staphylococcus and Streptococcus (68.8%). Eight (50.0%) received surgery (anterior [87.5%] and posterior [12.5%] cervical fusion and corpectomy [37.5%]) plus antibiotics and 8 (50.0%) were treated with antibiotics only. Patients with less comorbidities were more likely to receive surgery; more comorbidities were was associated with a poor prognosis. Eight patients (50%) made had full neurological recovery, 2 (12.5%) with had minimal recovery, 2 deaths died, and the remaining (25%) 1 was were sent to a skilled facility and 1or lost to follow-up. CONCLUSIONS: Cervical SEA can be problematic. The vast majority do not present classically and treatment does vary. It occurs more frequently in the lower cervical levels. Though antibiotics alone may suffice, surgery is frequently employed and a multitude of techniques are at the utility of the spine surgeon. Cardiovascular comorbidities are associated with a poorer outcome. In order to improve prognosis, management considerations should include both patient factors and multidisciplinary efforts.

Subject

Epidemiology; Spinal cord diseases

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

17036–17036

Volume

3

Citation

Shweikeh Faris; Hussain Mohammed; Sangtani Ajleeta; Issa Husam; Bashir Asif; Johnson J Patrick; Markarian Georges Z, “Cervical spine epidural abscess: a single center analytical comparison to the literature.,” NEOMED Bibliography Database, accessed December 1, 2022, https://neomed.omeka.net/items/show/4000.

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