Surgical Results
Thoracic Spine Epidural Abscess Causing Paraplegia Requiring Urgent Surgical Intervention
Epidural Abscess and Osteomyelitis
•60
year old with paraparesis and
fever denovo
•Cord
compression noted on preop CT
and MRI scan
Preop Sagittal CT
Preop Axial CT
Surgery
•Posterior
approach
•Laminectomy
•Transpedicular corpectomy and
decompression of the anterior aspect of the cord and debridement of the
vertebral body
•Pack
autologous iliac crest bone graft.
Harvest it 1st before the spine procedure
•Posterior
Fixation with postop Immobilization TLSO
•3
months of IV antibiotics Ancef
following CRP and sed rate
Excellent
Outcome
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