Hematogenous Pyogenic Vertebral Osteomyelitis

García, Andrea; Grantham, S. Ashby

doi:10.2106/00004623-196042030-00005

Cited by 147 publications

(55 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The prevertebral fascia borders the cervical spine, which explains the occasional reports of inflammatory torticollis due to the spreading of pyogenic inflammation of the cervical spine (Garcia and Grantham 1960;Ratcliffe 1985;Faidas et al 1994;Sakamoto et al 1999). There are also some reports of retropharyngeal abscess causing epidural abscess (Jang and Rhee 1998).…”

Section: Discussionmentioning

confidence: 98%

Retropharyngeal Abscess Complicated with Torticollis: Case Report and Review of the Literature

Hasegawa

Tateda

Hidaka

et al. 2007

Tohoku J. Exp. Med.

View full text Add to dashboard Cite

Abscess Complicated with Torticollis:Case Report and Review of the Literature. Tohoku J. Exp. Med., 2007, 213 (1), [99][100][101][102][103][104] Retropharyngeal abscess commonly develops among infants and small children, and is associated with the severe inflammation of the retropharyngeal lymph nodes located in the retropharyngeal space. Retropharyngeal abscess causes cervical pain, swelling, contracture of the neck, and in rare cases inflammatory torticollis, all of which result from an inflammatory process that irritates the cervical muscles, nerves or vertebrae. Here we report a rare case of retropharyngeal abscess with a complication of torticollis. A 4-yearold girl suffered from severe retropharyngeal abscess spreading through the deep cervical fascia, as judged by magnetic resonance imaging of the neck. Blood analysis showed high degree of inflammatory reactions, and so the patient was transferred to our hospital ward. The inflammation caused spasms of the prevertebral muscles, eventually leading to torticollis. The surgical drainage was performed immediately under general anesthesia, and an anti-inflammation therapy with intravenously administered meropenem trihydrate and clindamycin was used together with traction therapy to relieve the symptoms of the patient. We must be careful about the existence of epidural abscess and infectious spondylitis when the retropharyngeal abscess causes torticollis. In conclusion, an anti-inflammation therapy using antibiotics, along with traction therapy, was effective to relieve the symptoms. In addition to repeated clinical examinations, cooperation with orthopedists and careful follow-up are necessary. We also discussed the relationship between acute torticollis and retropharyngeal abscess. retropharyngeal abscess; torticollis; danger space; deep neck fascia; traction therapy

show abstract

Section: Discussionmentioning

confidence: 98%

Retropharyngeal Abscess Complicated with Torticollis: Case Report and Review of the Literature

Hasegawa

Tateda

Hidaka

et al. 2007

Tohoku J. Exp. Med.

View full text Add to dashboard Cite

show abstract

“…3B). 19,23,30,42,64 Prevertebral and retropharyngeal abscesses may be the only findings on MR imaging in some cases of cervical osteomyelitis. 3 images (Fig.…”

Section: Diagnostic Neuroimagingmentioning

confidence: 99%

“…38,57 Patients with diabetes, a history of intravenous drug abuse, chronic immunosuppression, or human immunodeficiency virus are particularly susceptible to vertebral osteomyelitis. 5,13,23,26,44,54 Cervical osteomyelitis has been reported to occur in up to 27% of intravenous drug abusers. 56,60 The most common mechanism for spread to the cervical spine is through a hematogenous route.…”

mentioning

confidence: 99%

Diagnosis and management of adult pyogenic osteomyelitis of the cervical spine

Acosta

Chin

Quiñones‐Hinojosa³

et al. 2004

FOC

117

119

View full text Add to dashboard Cite

Establishing the diagnosis of cervical osteomyelitis in a timely fashion is critical to prevent catastrophic neurological injury. In the modern imaging era, magnetic resonance imaging in particular has facilitated the diagnosis of cervical osteomyelitis, even before the onset of neurological signs or symptoms. Nevertheless, despite advancements in diagnosis, disagreement remains regarding appropriate surgical treatment. The role of instrumentation and type of graft material after cervical decompression remain controversial. The authors describe the epidemiological features, pathogenesis, and diagnostic evaluation, and the surgical and nonsurgical interventions that can be used to treat osteomyelitis of the cervical spine. They also review the current debate about the role of instrumentation in preventing spinal deformity after surgical decompression for cervical osteomyelitis. Based on this review, the authors conclude that nonsurgical therapy is appropriate if neurological signs or symptoms, instability, deformity, or spinal cord compression are absent. Surgical decompression, debridement, stabilization, and deformity correction are the goals once the decision to perform surgery has been made. The roles of autogenous graft, instrumentation, and allograft have not been clearly delineated with Class I data, but the authors believe that spinal stability and decompression override creating an environment that can be completely sterilized by antibiotic drugs.

show abstract

“…The high mortality rate recorded in the preantibiotic era (Kulowski 1936) has in more recent studies been reduced to less than 10 per cent (Garcia & Grantham 1960, Ambrose et al 1966). In our series no deaths resulted from the disease.…”

mentioning

confidence: 99%

Osteomyelitis of the Spine

Collert

1977

Acta Orthopaedica Scandinavica

View full text Add to dashboard Cite

Hematogenous Pyogenic Vertebral Osteomyelitis

Cited by 147 publications

References 0 publications

Retropharyngeal Abscess Complicated with Torticollis: Case Report and Review of the Literature

Retropharyngeal Abscess Complicated with Torticollis: Case Report and Review of the Literature

Diagnosis and management of adult pyogenic osteomyelitis of the cervical spine

Osteomyelitis of the Spine

Contact Info

Product

Resources

About