KMID : 0361620210560060519
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Journal of the Korean Orthopaedic Association 2021 Volume.56 No. 6 p.519 ~ p.524
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Bacterial Meningitis Complicated by Myelitis Following Anterior Cervical Spinal Surgery
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Ham Dong-Hun
Choi Byeong-Yeol Jung Myung-Cheol
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Abstract
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Meningitis after spinal surgery occurs rarely but can be fatal. A 49-year-old male was diagnosed with compressive myelopathy due to cervical disc herniation at the C 5, 6 level and underwent anterior cervical discectomy and fusion (ACDF). He complained of severe neck pain and stiffness with fever postoperatively and one week after surgery, the patient presented with abrupt tetraplegia. The follow-up magnetic resonance imaging and cerebrospinal fluid analysis revealed bacterial meningitis complicated by myelitis. The patient was treated with antibiotics and steroid, but the outcome was poor. The authors report a case of meningitis combined with myelitis following anterior cervical spinal surgery.
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KEYWORD
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cervical vertebrae, postoperative complications, meningitis, myelitis
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