지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 124 - 129 (6page)
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초록· 키워드
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Objective: Spinal epidural abscess (SEA) can be fatal if untreated, so early diagnosis and treatment are essential. We conducted a retrospective study to define its clinical features and evaluate the risk factors of motor weakness. Methods: We retrospectively analyzed the medical records and images of patients with SEA who had been hospitalized in our institute from January 2005 to June 2012. Pyogenic SEA patients were categorized as patients without motor weakness (Group A) and with motor weakness (Group B). Abscess volume was measured using the Gamma-Plan program. Intervertebral foramen height and posterior disc height were measured to evaluate degree of spinal stenosis. Results: Of 48 patients with pyogenic SEA, 33 (68%) were treated surgically, and 15 (32%) were treated with antibiotics. Eleven patients had weakness and abscess volume was unrelated to motor weakness. Old age, ‘spare room’ (abscess volume subtracted from spinal volume) and intervertebral foramen height and posterior disc height were statistically significant. Among the 48 patients, 43 (85%) had good outcome and erythrocyte sedimentation rate (ESR) was the only meaningful prognostic factor (p=0.014). The cut-off value of ESR was 112mm/h with 80% sensitivity and 79% specificity and had borderline significance (p=0.062). Conclusion: SEA needs emergent diagnosis and treatment. Motor weakness is the most important factor in treatment decision. By careful image reading, early surgical treatment can be an option for selected patients with severe spinal stenosis for prevent motor weakness. Inflammatory markers, especially ESR, are valuable to identify worsening of SEA.
목차
등록된 정보가 없습니다.
참고문헌 (33)
참고문헌 신청
Akalan N. / 2000 / Infection as a cause of spinal cord compression : a review of 36 spinal epidural abscess cases / Acta Neurochir(Wien) 142:17~23
Bluman EM. / 2004 / Spinal epidural abscess in adults / J Am Acad Orthop Surg 12:155~163
Carragee EJ. / 1997 / Pyogenic Vertebral Osteomyelitis / J Bone Joint Surg Am 79:874~880
Carragee EJ. / 1997 / The clinical use of erythrocyte sedimentation rate in pyogenic vertebral osteomyelitis / Spine(Phila Pa 1976) 22:2089~2093
Colmenero J. / 1997 / Pyogenic, tuberculous, and brucellar vertebral osteomyelitis : a descriptive and comparative study of 219 cases / Ann Rheum Dis 56:709~715
Bluman EM. / 2004 / Spinal epidural abscess in adults / J Am Acad Orthop Surg 12:155~163
Carragee EJ. / 1997 / Pyogenic Vertebral Osteomyelitis / J Bone Joint Surg Am 79:874~880
Carragee EJ. / 1997 / The clinical use of erythrocyte sedimentation rate in pyogenic vertebral osteomyelitis / Spine(Phila Pa 1976) 22:2089~2093
Colmenero J. / 1997 / Pyogenic, tuberculous, and brucellar vertebral osteomyelitis : a descriptive and comparative study of 219 cases / Ann Rheum Dis 56:709~715
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