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KMID : 1146020110040010028
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Journal of Critical Spine Cases
2011 Volume.4 No. 1 p.28 ~ p.30
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Thoracic Epidural Abscess Drainage by Epidural Catheterization
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Bae Jun-Seok
Jang Jee-Soo
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Abstract
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We report a case of spinal epidural abscess in the dorsal thoracolumbar spine because of spondylodiscitis at the L5-S1 level. The patient presented severe back pain and impending cauda equina syndrome. Instead of performing multiple laminectomies for decompression, we inserted an epidural catheter in 3 laminectomies followed by continuous irrigation. The patient showed improved clinical symptoms, and the magnetic resonance imaging scan showed complete decompression. We administered a 6-week intravenous antibiotics dose to treat the infection.
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KEYWORD
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Epidural drainage, Laminectomy, Spinal abscess, Spondylodiscitis
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