Xu Cuiyu, Ding Maoyu, Yang Yumei, Dong Chunke, Xu Xiaolong, Qu Zhicheng, Guo Wei, Cao Ying
Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, China.
Emergency and Critical Care Centre, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, China.
Front Surg. 2025 Jun 24;12:1570965. doi: 10.3389/fsurg.2025.1570965. eCollection 2025.
Commonly used minimally invasive treatment for cervical spondylotic diseases, cervical spine radiofrequency ablation (RFA) provides benefits of faster recovery and less trauma. However, data on the monitoring and management of postoperative complications, especially severe adverse events like myelitis, is limited. This case report details a 75-year-old female patient with a medical history of hypertension, cerebral infarction, and hyperlipidemia who subsequently developed myelitis after undergoing cervical spine radiofrequency ablation (RFA). The patient received effective treatment following a sequence of diagnostic and therapeutic measures, highlighting the risk of severe complications and the vital necessity of maintaining rigorous aseptic protocols during the procedure. This report extensively discusses the etiology of myelitis in this patient and explores the direct or indirect role of RFA in the development of myelitis.
颈椎射频消融术(RFA)是治疗颈椎病常用的微创治疗方法,具有恢复快、创伤小的优点。然而,关于术后并发症监测与管理的数据,尤其是像脊髓炎这种严重不良事件的数据有限。本病例报告详细介绍了一名75岁女性患者,她有高血压、脑梗死和高脂血症病史,在接受颈椎射频消融术(RFA)后发生了脊髓炎。患者经过一系列诊断和治疗措施后接受了有效治疗,突出了严重并发症的风险以及在手术过程中维持严格无菌操作规范的至关重要性。本报告广泛讨论了该患者脊髓炎的病因,并探讨了射频消融术在脊髓炎发生过程中的直接或间接作用。