Junila J, Niinimäki T, Tervonen O
Department of Surgery, Oulu University Hospital, Finland.
Spine (Phila Pa 1976). 1997 Sep 15;22(18):2191-3. doi: 10.1097/00007632-199709150-00020.
The patient who suffered from pain in both lower legs and in whom discography was performed experienced a rare complication after discography. The findings and method of discography is described, as is usefulness of magnetic resonance imaging to image this rare complication.
To establish the possibility of getting a spinal epidural abscess after discography, how to make the diagnosis, and how to treat the complication.
Discitis after discography is a well-known complication, but epidural abscess is rare.
C-reactive protein concentration was measured and was more than 100 mg/L. Infection was suspected, and antibiotic therapy was started immediately. Magnetic resonance imaging was performed, and the diagnosis became clear. A laminotomy was performed.
Symptoms due to epidural abscess disappeared soon after laminotomy.
Some harmful and unpleasant complications are possible after discography. Antibiotic prophylaxis and stiletted needles should be used. Magnetic resonance imaging is the best radiologic procedure to image the complication, and surgery must be performed as soon as possible.
一名双下肢疼痛且接受了椎间盘造影术的患者在椎间盘造影术后出现了一种罕见的并发症。本文描述了椎间盘造影术的结果和方法，以及磁共振成像对这种罕见并发症进行成像的作用。
确定椎间盘造影术后发生脊髓硬膜外脓肿的可能性、如何进行诊断以及如何治疗该并发症。
椎间盘造影术后椎间盘炎是一种众所周知的并发症，但硬膜外脓肿罕见。
测量C反应蛋白浓度，其超过100mg/L。怀疑有感染，立即开始抗生素治疗。进行了磁共振成像，诊断得以明确。实施了椎板切开术。
椎板切开术后，硬膜外脓肿引起的症状很快消失。
椎间盘造影术后可能会出现一些有害且令人不适的并发症。应使用抗生素预防并使用带芯针。磁共振成像是对该并发症进行成像的最佳放射学检查方法，必须尽快进行手术。
