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Clinical Outcomes of Spinal Epidural Abscess

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Affiliated Author(s)
김인수
Alternative Author(s)
Kim, In Soo
Journal Title
Korean Journal of Spine
ISSN
1738-2262
Issued Date
2012
Keyword
Epidural abscessSpineSurgery
Abstract
Objective: The aim of this study is to elucidate the clinical characteristics of patients with spinal epidural abscess (SEA)
and demonstrate the risk factors, treatments and neurologic outcomes.
Methods: We retrospectively reviewed the medical records and radiologic images of 35 patients admitted to our department
with SEA between March 1987 and April 2011. While we performed decompressive laminectomy and abscess drainage
on 19 patients (54.3%), and 16 patients (45.7%) initially received conservative therapy with antibiotics alone. Medical
Research Council (MRC) scale was applied to estimate results objectively.
Results: The neurological outcome data showed improved MRC scale from 14 (40%) patients. 13 (37.1%) patients showed
unchanged MRC scale and 8 (22.9%) patients revealed worsened MRC scale at the time of discharge. The patients with surgical
treatment showed more improved MRC scale than the patients with conservative treatment and this was statistically significant
(p=0.001) on univariate analysis. Initially, patients with decreased MRC scale and rapidly progressing neurological deficit
underwent emergency surgery within 24 hours. Patients with intact MRC scale and minor neurological deficit received
delayed surgery or conservative management with antibiotics. Among 19 patients those who experienced emergent
operations within 24 hours showed better prognosis than those who underwent delayed operations after 24 hours.
Conclusion: Surgical treatment is the modality of choice in patients with SEA and urgent surgery especially is indicated in
patients with neurological deficits. And early surgery is more effective in neurological improvements than delayed surgery and
conservative management.
Department
Dept. of Neurosurgery (신경외과학)
Publisher
School of Medicine
Citation
HyunJin Ma and Insoo Kim. (2012). Clinical Outcomes of Spinal Epidural Abscess. Korean Journal of Spine, 9(1), 6–11. doi: 10.14245/kjs.2012.9.1.6
Type
Article
ISSN
1738-2262
DOI
10.14245/kjs.2012.9.1.6
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39653
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
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