Full-endoscopic debridement and drainage treating spine infection and psoas muscle abscess

Yu, Ching-Hsiao

doi:10.21037/jss.2020.01.04

Cited by 14 publications

(14 citation statements)

References 28 publications

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“… 14 Based on the accumulated evidence in the literature, endoscopic spine surgery has demonstrated efficacy in managing various infectious diseases of the thoracolumbar spine. 14 – 17 Early and late complications associated with spinal instrumentation, spinal fusion and anterior spine surgery can also be avoided. 15 A previous study reported the successful treatment of 34 patients with spondylodiscitis, epidural abscess and psoas muscle abscess using a percutaneous endoscopic technique.…”

Section: Discussionmentioning

confidence: 99%

“… 15 A previous study reported the successful treatment of 34 patients with spondylodiscitis, epidural abscess and psoas muscle abscess using a percutaneous endoscopic technique. 16 Many of the patients were immunocompromised due to HIV infection. 16 The authors recommended an early endoscopic biopsy, debridement, irrigation and drainage as the first-line treatment to obtain more tissue samples for histopathological examination and bacterial culture and to avoid late deformity resulting from bony destruction.…”

Section: Discussionmentioning

confidence: 99%

“… 16 Many of the patients were immunocompromised due to HIV infection. 16 The authors recommended an early endoscopic biopsy, debridement, irrigation and drainage as the first-line treatment to obtain more tissue samples for histopathological examination and bacterial culture and to avoid late deformity resulting from bony destruction. 16 …”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Salmonella spondylodiscitis and epidural abscess successfully treated with unilateral biportal endoscopic discectomy and debridement: a rare case report

2022

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Spinal epidural abscess (SEA) is a rare but severe infection with potentially devastating consequences. Epidural abscesses caused by Salmonella serogroup C2 are even rarer and tend to be more invasive with multidrug resistance. Early diagnosis, effective use of antibiotics and surgical intervention are the mainstay strategies for managing SEA, especially for more virulent and multidrug-resistant Salmonella infections. This case report presents a rare case of an elderly and fragile woman with Salmonella spondylodiscitis and an extensive epidural abscess, which were successfully treated with intravenous antibiotics and unilateral biportal endoscopic (UBE) debridement and drainage through four small surgical incisions. After surgery, her fever subsided, she regained consciousness and her low back pain dramatically improved. Follow-up magnetic resonance imaging showed complete resolution of the epidural abscess. At 6 months after surgery, the patient regained muscle strength, ambulated with a walker and had no recurrence of the infection. The UBE technique can effectively eradicate infection while minimizing surgery-related risks and complications. A multidisciplinary team is required to achieve a good outcome.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Salmonella spondylodiscitis and epidural abscess successfully treated with unilateral biportal endoscopic discectomy and debridement: a rare case report

2022

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“…Fluoroscopic, CT-guided percutaneous biopsy and full endoscopic debridement and drainage (FEDD) are optional. 25…”

Section: Diagnosis and Differential Diagnosismentioning

confidence: 99%

A Comprehensive Review of Pyogenic Spondylitis Management for Neurosurgeons

Yunoki

2023

Asian J Neurosurg

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Older populations have been increasing recently, resulting in an increase in cases of pyogenic spondylitis. Neurosurgeons who frequently treat the elderly are at a higher risk of encountering this condition. Therefore, this article provides a summary of the literature and our experience to help neurosurgeons effectively manage pyogenic osteomyelitis. It is important not to rule out pyogenic spondylosis when examining a patient with back pain, even in the absence of a fever. This is because the chronic type is common, easily overlooked, and early diagnosis and treatment are crucial. Empirical antibiotics should be avoided in cases where blood culture and biopsy are negative, to prevent microbial resistance and an increase in difficult-to-treat cases. Biopsies, such as computed tomography-guided percutaneous biopsy and full endoscopic debridement and drainage, should be attempted. Currently, 6 weeks of parenteral antibiotic therapy is the main treatment for pyogenic spondylitis. Surgical treatment is recommended if this method is ineffective. However, in the early stages, full endoscopic debridement and drainage and percutaneous pedicle screw fixation are optional.

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“…Main indication for percutaneous endoscopic intervention on the spine is degenerativedystrophic pathologies (6). Apart from that, this technique has been tried in infectious spine diseases (7,8); chronic epidural hematoma (9); and spine stabilization and its complications (10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

Percutaneous Transforaminal Full-Endoscopic Removal of Neurinoma of the Fifth Lumbar Nerve Root With Intraoperative Neuromonitoring: A Case Report

et al. 2022

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BackgroundTechnical achievements and surgical techniques improvement contribute to the expansion of the endoscopic spine surgery possibilities. However, today there are few reports about the use of percutaneous endoscopy in spinal tumor surgery. A case of percutaneous transforaminal endoscopic removal of the lumbar spinal nerve tumor with intraoperative neuromonitoring is presented.Case DescriptionA 59-year-old female was complaining of a left shin and foot pain, weakness, and paresthesia. Preoperative magnetic resonance imaging (MRI) revealed a tumor (neurinoma) at the left L5-S1 intervertebral foramen. Transforaminal endoscopic removal of an extramedullary tumor from an 8-mm skin incision with intraoperative neuromonitoring was performed. Postoperative MRI revealed the signs of total resection of the tumor.ConclusionThe presented case confirms that percutaneous endoscopic removal of lumbar spine intraforaminal neurinomas can be safe and effective.

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Full-endoscopic debridement and drainage treating spine infection and psoas muscle abscess

Cited by 14 publications

References 28 publications

Salmonella spondylodiscitis and epidural abscess successfully treated with unilateral biportal endoscopic discectomy and debridement: a rare case report

Salmonella spondylodiscitis and epidural abscess successfully treated with unilateral biportal endoscopic discectomy and debridement: a rare case report

A Comprehensive Review of Pyogenic Spondylitis Management for Neurosurgeons

Percutaneous Transforaminal Full-Endoscopic Removal of Neurinoma of the Fifth Lumbar Nerve Root With Intraoperative Neuromonitoring: A Case Report

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