Preview

Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika)

Advanced search

DIAGNOSIS AND TREATMENT OF PURULENT SPINAL EPIDURITIS

https://doi.org/10.14531/ss2015.4.84-87

Abstract

Purulent spinal epiduritis is a rare pathology without pathognomonic symptoms in clinical picture, therefore its diagnosis is difficult, even with the use of neuroimaging techniques. Two cases of purulent spinal epiduritis are presented with the analysis of diagnosis, clinical presentation and treatment. In both cases, surgical treatment was performed including laminectomy, incision, and drainage of abscesses. Postoperative period was uneventful. The treatment allowed achieving quick recovery and minimizing possible consequences of purulent epiduritis. The authors consider that the surgery is a method of choice for purulent spinal epidurirtis treatment.

About the Authors

Sergey Vjacheslavovich Snopko
Center of traumatology and orthopaedics Itinerary Affiliated Hospital of JSC Russian Railways, Yaroslavl
Russian Federation


Sergey Anatolyevich Firsov
Center of traumatology and orthopaedics Itinerary Affiliated Hospital of JSC Russian Railways, Yaroslavl
Russian Federation


Irina Vladimirovna Kornilova
Center of traumatology and orthopaedics Itinerary Affiliated Hospital of JSC Russian Railways, Yaroslavl
Russian Federation


Leonid Sergeyevich Tumorin
Center of traumatology and orthopaedics Itinerary Affiliated Hospital of JSC Russian Railways, Yaroslavl
Russian Federation


Vladimir Petrovich Shevchenko
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan, Russia
Russian Federation


References

1. Вишневский А.А., Шулешова Н.В. Спинной мозг: клинические и патофизиологические сопоставления. СПб., 2014.

2. Гринберг М.С. Нейрохирургия. М., 2010.

3. Гончаров М.Ю., Сакович В.П., Данилов Е.П., Черепанов А.В., Волков И.В., Левчик Е.Ю. Ближайшие результаты лечения гнойных неспецифических заболеваний позвоночника // Хирургия позвоночника. 2005. № 2. С. 70-72.

4. Иргер И.М., Макарова Е.В., Равикович М.А., Кадьянджи П. Спинальные эпидуральные абсцессы. Л., 1988.

5. Протас Р.Н., Кубраков К.М., Рихтер А.В. Трудности диагностики спинальных эпидуритов // Вестник Витеб. гос. мед. ун-та. 2004. Т. 3. № 2. С. 95-97.

6. Фадеев Б.П., Карабаев И.Ш. Диагностика и лечение гнойных спинальных эпидуритов. СПб., 2004.

7. Chao D, Nanda A. Spinal epidural abscess: a diagnostic challenge. Am Fam Physician. 2002;65:1341-1346.

8. Davis DP, Wold RM, Patel RJ, Tran AJ, Tokhi RN, Chan TC, Vilke GM. The clinical presentation and impact of diagnostic delays on emergency department patients with spinal epidural abscess. J Emerg Med. 2004;26:285-291.

9. Hadjipavlou AG, Mader JT, Necessary JT, Muffoletto AJ. Hematogenous pyogenic spinal infections and their surgical management. Spine. 2000;25:1668-1679. DOI: 10.1097/00007632-200007010-00010.

10. McHenry MC, Easley KA, Locker GA. Vertebral osteomyelitis: long-term outcome for 253 patients from 7 Cleveland-area hospitals. Clin Infect Dis. 2002;34:1342-1350.

11. Razak M, Kamari ZH, Roohi S. Spinal infection - an overview and the results of treatment. Med J Malaysia. 2000;55 Suppl C:C18-C28.

12. Tang HJ, Lin HJ, Liu YC, Li CM. Spinal epidural abscess - experience with 46 patients and evaluation of prognostic factors. J Infect. 2002;45:76-81.

13. Veillard E, Guggenbuhl P, Morcet N, Meadeb J, Bello S, Perdriger A, Chales G. Prompt regression of paravertebral and epidural abscesses in patient with pyogenic discitis. Sixteen cases evaluated using magnetic resonance imaging. Joint Bone Spine. 2000;67:219-227.

14. Weinberg J, Silber JS. Infections of the spine: what the orthopedist needs to know. Am J Orthop (Belle Mead NJ). 2004;33:13-17.


Review

For citations:


Snopko S.V., Firsov S.A., Kornilova I.V., Tumorin L.S., Shevchenko V.P. DIAGNOSIS AND TREATMENT OF PURULENT SPINAL EPIDURITIS. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2015;12(4):84-87. (In Russ.) https://doi.org/10.14531/ss2015.4.84-87



Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1810-8997 (Print)
ISSN 2313-1497 (Online)