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Surgical Treatment of Brucellar Cervical Epidural Abscess.
Li-Di, Liu; Song, Zhao; Yang, Liu; Zhen-Shan, Lv; Yuan-Zhe, Jin; Shao-Kun, Zhang.
Afiliación
  • Li-Di L; Department of Spine Surgery, Orthopaedic Center, The First Hospital of Jilin University, Changchun, China.
  • Song Z; Department of Spine Surgery, Orthopaedic Center, The First Hospital of Jilin University, Changchun, China.
  • Yang L; Department of Radiology, The First Hospital of Jilin University, Changchun, China.
  • Zhen-Shan L; Department of Spine Surgery, Orthopaedic Center, The First Hospital of Jilin University, Changchun, China.
  • Yuan-Zhe J; Department of Spine Surgery, Orthopaedic Center, The First Hospital of Jilin University, Changchun, China.
  • Shao-Kun Z; Department of Spine Surgery, Orthopaedic Center, The First Hospital of Jilin University, Changchun, China. Electronic address: shaokun@jlu.edu.cn.
World Neurosurg ; 183: e838-e845, 2024 03.
Article en En | MEDLINE | ID: mdl-38218437
ABSTRACT

OBJECTIVES:

Brucellar cervical epidural abscess (CEA) is a rare condition with potentially permanent neurological damage if left untreated. This study aims to define the clinical presentation of brucellar CEA and evaluate the outcome of surgical treatment, specifically decompression and fusion surgery. The findings will contribute to understanding whether all patients with brucellar CEA could benefit from this surgical intervention.

METHODS:

A retrospective study on brucellar spondylitis was conducted at the First Hospital of Jilin University from August 2018 to August 2022. During this period, a total of 37 patients were diagnosed with brucellar spondylitis at the hospital. Out of the 37 cases, six patients (16.2%) were confirmed to have CEA through cervical magnetic resonance imaging examination and serology test results..

RESULTS:

Six patients were diagnosed with brucellar CEA (16.2%), of whom 5 successfully underwent anterior cervical decompression and fusion surgery. One patient had a large prevertebral abscess that could only be drained. In combination with effective antibiotic therapy, the clinical performance of the 5 patients who underwent surgery improved after the surgery. The remaining one patient required delayed surgery due to instability of the cervical spine. The follow-up period of all the 6 patients was 6 months.

CONCLUSIONS:

Brucellosis should be considered as a potential cause of CEA, especially in endemic areas. Timely detection and effective management of this condition are crucial in order to minimize the associated morbidity and mortality. For patients with detectable brucellar CEA, we recommend decompression and fusion surgery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Espondilitis / Brucella / Brucelosis / Absceso Epidural Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: World Neurosurg Asunto de la revista: NEUROCIRURGIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Espondilitis / Brucella / Brucelosis / Absceso Epidural Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: World Neurosurg Asunto de la revista: NEUROCIRURGIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos