Patel Alpesh A, Madigan Luke, Poelstra Kornelis A, Whang Peter G, Vaccaro Alexander R, Harrop James S
Department of Orthopaedic Surgery, University of Utah School of Medicine, Salt Lake City, UT 84108, USA.
Spine J. 2008 Sep-Oct;8(5):827-30. doi: 10.1016/j.spinee.2007.04.019. Epub 2007 Jun 21.
Tonsillectomy is among the most commonly performed surgical procedures. The development of severe infection after tonsillectomy is a very rare but potentially fatal complication that has not been described in the orthopedic, neurosurgical, or spine literature.
To present acute cervical osteomyelitis and prevertebral abscess formation as a complication of a routine tonsillectomy.
Case report, literature review.
A case report was prepared on the clinical and radiographic data of a patient presenting with prevertebral abscess and acute cervical osteomyelitis 6 weeks after routine tonsillectomy. A review of relevant literature was additionally performed.
The patient presented 6 weeks after tonsillectomy with evidence of a deep cervical infection. Operative debridement with anterior and posterior surgical stabilization was performed. The patient completed a 6-week course of intravenous antibiotics. At 24-month follow-up, the patient showed no signs of infection and demonstrated a stable fusion mass.
The development of prevertebral abscess and acute cervical osteomyelitis has been discussed in a small number of otolaryngology case reports and has not been previously reported in the orthopedic, neurosurgical, or spine literature. Symptoms may be nonspecific, and so a high index of clinical suspicion is needed. Delay in treatment may lead to significant morbidity and even mortality. Successful treatment can be obtained through operative debridement and intravenous antibiotic therapy.
扁桃体切除术是最常施行的外科手术之一。扁桃体切除术后发生严重感染是一种非常罕见但可能致命的并发症，在骨科、神经外科或脊柱文献中尚未有描述。
报告一例因常规扁桃体切除术后并发急性颈椎骨髓炎和椎前脓肿形成的病例。
病例报告及文献综述。
根据一名在常规扁桃体切除术后6周出现椎前脓肿和急性颈椎骨髓炎患者的临床及影像学资料撰写病例报告，并对相关文献进行综述。
该患者在扁桃体切除术后6周出现深部颈部感染迹象。进行了前后路手术清创及稳定手术。患者完成了为期6周的静脉抗生素治疗。在24个月的随访中，患者无感染迹象，融合块稳定。
少数耳鼻喉科病例报告中讨论过椎前脓肿和急性颈椎骨髓炎的发生情况，此前在骨科、神经外科或脊柱文献中未见报道。症状可能不具特异性，因此需要高度的临床怀疑指数。治疗延迟可能导致严重的发病率甚至死亡率。通过手术清创和静脉抗生素治疗可获得成功治疗。
