TY - JOUR
T1 - Postoperative spinal epidural empyema
T2 - Clinical and computed tomography features
AU - Spiegelmann, Roberto
AU - Findler, Gideon
AU - Faibel, Meir
AU - Ram, Zvi
AU - Shacked, Itzhack
AU - Sahar, Abraham
PY - 1991/10
Y1 - 1991/10
N2 - Epidural empyema is a rare complication of elective spinal surgery. Four such cases are described. The clinical features of this postoperative complication were surprisingly vague and misleading. Fever was uncommon. Local inflammatory signs or rapid neurologic deterioration were absent. Computerized tomography proved useful in diagnosis and follow-up. Unlike spontaneous spinal epidural abscess, postoperative spinal epidural empyema had a benign course. Causative bacteria were miscellaneous. Surgical evacuation of the purulent collection and appropriate antibiotic therapy resulted in cure in all cases.
AB - Epidural empyema is a rare complication of elective spinal surgery. Four such cases are described. The clinical features of this postoperative complication were surprisingly vague and misleading. Fever was uncommon. Local inflammatory signs or rapid neurologic deterioration were absent. Computerized tomography proved useful in diagnosis and follow-up. Unlike spontaneous spinal epidural abscess, postoperative spinal epidural empyema had a benign course. Causative bacteria were miscellaneous. Surgical evacuation of the purulent collection and appropriate antibiotic therapy resulted in cure in all cases.
KW - Computed tomography
KW - Spinal epidural abscess
KW - Spine surgery
KW - Surgical wound infection
UR - http://www.scopus.com/inward/record.url?scp=0025950503&partnerID=8YFLogxK
U2 - 10.1097/00007632-199110000-00003
DO - 10.1097/00007632-199110000-00003
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C2 - 1754934
AN - SCOPUS:0025950503
SN - 0362-2436
VL - 16
SP - 1146
EP - 1149
JO - Spine
JF - Spine
IS - 10
ER -