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Journal of Korean Neurosurgical Society 1993;22(4): 551-557.
A Case of the Spontaneous Spinal Epidural Abscess: Case Report.
Sin Byung Park, Kuy Chun Lee, Yong Seok Park, Young Bae Lee, Suk Kang
1Department of Neurosurgery, Medical College of Dongguk University, Kyungju, Korea.
2Department of Orthopedic Surgery, Medical College of Dongguk University, Kyungju, Korea.
ABSTRACT
Abscesses in the spinal epidural space are seen in 0.2~1.2 patients per 10,000 hospital admissions and are much rarer than intracranial abscess. The morbidity and mortality of patients with infections in this location can be high, and most authors emphasize prompt diagnosis combined with appropriate antibiotics and surgical theraphy. Although laminectomy is frequently used for deagnosis and decompression of the neural element, it can lead to instability, and there are orther reports emphasizing the importance of anterior decompression with stabilization. We discussed the clinical features, radiologic findings of the case, and reviewed the literatures of this disease.
Key Words: Spinal epidural abscess; Laminectomy; Instability
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