医学
外科
硬膜外脓肿
椎板切除术
脊髓压迫
脓肿
弱点
脊髓硬膜外脓肿
麻醉
脊髓
精神科
作者
Roy Hwang,Brian H Yung,Cara L. Sedney,Vincent Miele
出处
期刊:PubMed
日期:2015-06-09
卷期号:111 (3): 14, 16-8
被引量:8
摘要
To date, this is the first reported case of the surgical management of a holocord epidural abscess done through level-skipping laminectomies. It is also the first reported case of these laminectomies being performed via an alternating side unilateral approach for this condition. A 51-year-old patient presenting with progressive lower extremity weakness secondary to a spinal epidural abscess extending from C4 to S1. A minimally disruptive method of relieving the spinal cord compression via evacuation of the abscess was employed successfully. This report demonstrates the efficacy of level skipping laminectomies via a unilateral approach for holocord epidural abscesses (extending 20 vertebral levels). Performing the laminectomies via a unilateral approach as well as alternating the side of the approach minimized iatrogenic instability risk. Both strategies were designed to minimize incision size, tissue disruption, and the amount of muscular weakness/imbalance postoperatively.
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