Coapes C M, Roysam G S
Department of Orthopaedic Surgery, South Tyneside District Hospital, Gateshead.
Spine (Phila Pa 1976). 2001 Jul 1;26(13):1492-4. doi: 10.1097/00007632-200107010-00023.
A case of vertebral osteomyelitis secondary to epidural catheter use is reported.
To investigate the occurrence of vertebral osteomyelitis after the use of an epidural catheter.
Vertebral osteomyelitis is a rare but serious complication of epidural catheter use that apparently has not been reported previously in orthopedic literature.
A patient underwent abdominal surgery, and an epidural catheter was used for postoperative pain relief. He presented 3 months later with severe midlumbar pain. Magnetic resonance imaging and microbiologic examination of a specimen obtained at open biopsy were used in the investigation.
Magnetic resonance imaging suggested vertebral osteomyelitis involving L1-L3. The patient underwent open debridement and posterior instrument stabilization. Biopsies taken from L3 pedicles yielded Pseudomonas aeruginosa, which had been recovered earlier from the epidural catheter tip.
Vertebral osteomyelitis is a rare but serious complication of epidural catheter use.
报告1例因使用硬膜外导管继发椎体骨髓炎的病例。
调查使用硬膜外导管后椎体骨髓炎的发生情况。
椎体骨髓炎是硬膜外导管使用的一种罕见但严重的并发症，在骨科文献中此前显然未见报道。
1例患者接受腹部手术，使用硬膜外导管缓解术后疼痛。3个月后，患者出现严重的腰中部疼痛。调查中采用了磁共振成像以及开放活检获取标本的微生物学检查。
磁共振成像提示L1-L3椎体骨髓炎。患者接受了开放清创术及后路器械固定。从L3椎弓根获取的活检标本培养出铜绿假单胞菌，该菌此前已从硬膜外导管尖端检出。
椎体骨髓炎是硬膜外导管使用的一种罕见但严重的并发症。
