SPINAL EPIDURAL ABSCESSES AS A COMPLICATION OF SPONDYLODISCITIS: A RETROSPECTIVE SINGLE-CENTER STUDY
https://doi.org/10.14531/ss2017.4.103-109
Abstract
Objective. To present the clinical course and outcomes of surgical treatment in patients with spinal epidural abscesses.
Material and Methods. Sixteen patients (7 males and 9 females) with clinical, neuroimaging and/or histological evidence of spinal epidural abscess were treated in 2015 and 2016 at our institution.
Results. The mean age of patients was 60.200 ± 10.387 years.
The period from disease onset to hospital admission ranged from 15 to 120 days. Upon hospitalization, only 3 patients (18.75 %) were neurologically intact. Seven patients (3.75 %) underwent interlaminotomy at one or more levels or hemilaminectomy. The remaining 9 patients (56.25 %) were treated with laminectomy, and 5 of them with additional posterior pedicle screw fixation. Disability decreased after surgery in 7 patients (43.75 %), and remained unchanged until hospital discharge in 7. Two patients (12.5 %) died.
Conclusion. Urgent surgery is the method of choice for patients with spinal epidural abscess. It allows decompression of neural structures, correction of spinal deformity by means of stabilization that aims at rapid mobilization of patients.
About the Authors
Borislav Dimitrov Kitov
Medical University
Bulgaria
Bulgaria
Prof., MD, PhD, Head of Department of Neurosurgery
15A Vassil Aprilov Blvd, Medical University Plovdiv, 4002, Bulgaria
Hristo Bogdanov Jelyazkov
Medical University
Bulgaria
Bulgaria
Prof., MD, PhD, Head of Clinic of Neurosurgery, St George University Hospital, Plovdiv, Department of Neurosurgery, Medical University, Plovdiv
15A Vassil Aprilov Blvd, Medical University Plovdiv, 4002, Bulgaria
Aneta Simeonova Petkova
Medical University
Bulgaria
Bulgaria
MD, Assist. Prof., MD, Department of Neurosurgery
15A Vassil Aprilov Blvd, Medical University Plovdiv, 4002, Bulgaria
Ivo Kehayov
Medical University
Bulgaria
Bulgaria
Assist. Prof., MD, PhD, Department of Neurosurgery
15A Vassil Aprilov Blvd, Medical University Plovdiv, 4002, Bulgaria
Atanas Davarski
Medical University
Bulgaria
Bulgaria
Assist. Prof., MD, PhD, Department of Neurosurgery
15A Vassil Aprilov Blvd, Medical University Plovdiv, 4002, Bulgaria
Borislav Kalnev
Medical University
Bulgaria
Assist. Prof., MD, Department of Neurosurgery15A Vassil Aprilov Blvd, Medical University Plovdiv, 4002, Bulgaria
Bulgaria
Assist. Prof., MD, Department of Neurosurgery15A Vassil Aprilov Blvd, Medical University Plovdiv, 4002, Bulgaria
Tanya Kitova
Medical University
Bulgaria
Bulgaria
Assoc. Prof., MD, PhD, Department of Anatomy, Histology and Embryology
15A Vassil Aprilov Blvd, Medical University Plovdiv, 4002, Bulgaria
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Review
For citations:
Kitov B.D., Jelyazkov H.B., Petkova A.S., Kehayov I., Davarski A., Kalnev B., Kitova T. SPINAL EPIDURAL ABSCESSES AS A COMPLICATION OF SPONDYLODISCITIS: A RETROSPECTIVE SINGLE-CENTER STUDY. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2017;14(4):103-109. https://doi.org/10.14531/ss2017.4.103-109
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