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KMID : 1146020120050010006
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Journal of Critical Spine Cases
2012 Volume.5 No. 1 p.6 ~ p.10
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Posterior Keyhole Microforaminotomy Using a METRx? System for a Cervical Epidural Abscess in an Elderly Patient
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Kim Dong-Woo
Choi Kyeong-Bo
Hwang Byeong-Wook
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Abstract
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The incidence of a cervical epidural abscess is a rare (0.2 and 1.2/10,000 hospital admissions) but the outcome might result in catastrophic disease, and therefore early diagnosis and appropriate treatment is mandatory. For patients who have no or few neurological symptoms, treatment can be carried out using only antibiotics, but close observation is still needed. Surgery continues to be the treatment of choice for cervical epidural abscesses. Laminectomy represents the most commonly used procedure for dorsal decompression in cases of a cervical epidural abscess. However, this involves a risk of postoperative instability, particularly in concomitant infection of the vertebral body. Furthermore, the approach of posterior cervical lesion using laminoplasty causes postoperative axial pain and deteriorates patient’s quality of life. We report a case of a 79-year-old man with a cervical epidural abscess on the dorsal part of the cervical canal at C3-4 level, which was treated with minimally invasive surgery to reduce postoperative complications and for a better quality of life. We report the therapeutic effect of posterior keyhole microforaminotomy using Minimal Exposure Tubular Retractor (METRx?; Medtronic Sofamor Danek, Memphis, TN, USA) system for a cervical epidural abscess.
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KEYWORD
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Microforaminotomy, Spinal epidural abscess, Tubular retractor
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