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颈椎前路手术后罕见的致命感染。

Unusual fatal infections after anterior cervical spine surgeries.

作者信息

Hur Junseok W, Lee Jang-Bo, Kim Joo-Han, Kim Se-Hoon, Cho Tai-Hyoung, Suh Jung-Keun, Park Youn-Kwan

机构信息

Department of Neurosurgery, Guro Hospital, Korea University College of Medicine, Seoul, Korea.

Department of Neurosurgery, Anam Hospital, Korea University College of Medicine, Seoul, Korea.

出版信息

Korean J Spine. 2012 Sep;9(3):304-8. doi: 10.14245/kjs.2012.9.3.304. Epub 2012 Sep 30.

Abstract

We report two cases of cervical spinal epidural abscess (SEA), which are related to anterior cervical surgeries. The first case reveals a late postoperative infection without any predisposing factor. The second case reveals combined complication of infection and instrument failure (artificial disc). Both two cases manifested ascending infections that are unusual courses of anterior cervical infections. The abscess extended upwards and, finally, caused life threatening bacterial meningitis. We suggest aggressive surgical interventions with anti-bacterial therapies in such cases.

摘要

我们报告了两例与颈椎前路手术相关的颈椎硬膜外脓肿(SEA)病例。第一例显示为术后晚期感染,无任何诱发因素。第二例显示为感染与器械故障(人工椎间盘)的合并并发症。两例均表现为上行性感染,这是颈椎前路感染的不寻常病程。脓肿向上蔓延,最终导致危及生命的细菌性脑膜炎。我们建议在此类病例中采取积极的手术干预并联合抗菌治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dff0/4431026/18db646c0dc4/kjs-9-304-g001.jpg

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