경피적 척추성형술 후 발생한 경막외농양 -증례 보고-

Epidural Abscess after Percutaneous Vertebroplasty -A case report -

  • 오세철 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 이은경 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 김국현 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 윤건중 (가톨릭대학교 의과대학 마취통증의학교실)
  • Oh, Sae Cheol (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea) ;
  • Lee, Eun Kyung (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea) ;
  • Kim, Kook Hyun (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea) ;
  • Yoon, Keon Jung (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea)
  • 투고 : 2005.06.29
  • 심사 : 2005.11.24
  • 발행 : 2005.12.10

초록

Although the incidence of epidural abscess is rare, once it occurs, its high morbidity rate and high mortality rate create a great deal of serious sequalae for these patient, if this condition is not diagnosed in time. We experienced a case of epidural abscess after performing percutaneous vertebroplasty in a patient who had a lumbar spinal compression fracture. This case will remind the pain clinician of the possibility of epidural abscess after such a procedure.

키워드

참고문헌

  1. Baker AS, Ojemann RG, Swartz MN, Richardson EP Jr: Spinal epidural abscess. N Engl J Med .1975; 293: 463-8.
  2. Curry WT Jr, Hoh BL, Amin-Hanjani S, Eskandar EN: Spinal epidural abscess: clinical presentation, management, and outcome. Surg Neurol 2005; 63: 364-71.
  3. Galibert P, Deramond H, Rosar P, Le Gars D: Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasry. Neurochirurgie 1987; 33: 166-8.
  4. Chiras J, Depriester C, Weill A, Sola-Martinez MT, Deramond H: Percutaneous vertebral surgery. Technics and indications. J Neuroradiol 1997; 24: 45-59.
  5. Cotten A, Boutry N, Corter B, Assaker R, Demondion X, Leblond D, er al: Percutaneous vertebroplasty: state of the art. Radiographies 1998; 18: 311-20.
  6. Wilson DR, Myers ER, Mathis JM, Scribner RM, Conta JA, Reiley MA, et al: Effect of ugrnentation on the mechanics of vertebral wedge fractures. Spine 2000; 25: 158-65.
  7. Martin JB, Jean B, Sugiu K, San Millan Ruiz D, Piotin M, Murphy K, et al: Vertebroplasty: clinical experience and follow-up results. Bone 1999; 25: llS-5S.
  8. Deramond H, Depriester C, Galibert P, Le Gars D: Percutaneous vertebroplasty with polymethylmethacrylate. Technique, indications and results. Radial Clin North Am 1998; 36: 533-46.
  9. Jensen ME, Evans AJ, Mathis JM, Kallmes DF, Cloft HJ, Dian JE: Percutaneous polymethylmethacrylate verrebroplasty in the treatment of osteoporotic vertebral body compression fractures; technical aspects. Am J Neuroradiol 1997; 18: 1897-904.
  10. Danner RL, Hartman BJ: Update of spinal epidural abscess: 35 cases and review of rhe literature. Rev Infect Dis 1987; 9: 265-74.
  11. Heusner AP: Non-tuberculous spinal epidural infection. N Engl J Med 1948; 239: 835-54.
  12. Nussbaum ES, Rigamonti D,Standiford H, Numaguchi Y, Wolf AL, Robinson WL: Spinal epidural abscess: a report of 40 cases and review. Surg Neurol 1992; 38: 225-31.
  13. Lyu RK, Chen C), Tang LM, Chen ST: Spinal epidural abscess successfully treated with percutaneous, computed tomographyguided, needle aspiration and parenteral antibiotic therapy: case report and review of the literature. Neurosurgery 2002; 51: 509- 12.
  14. Alcock E, Regaard A, Browne J: Facet joint injection: a rare form cause of epidural abscess formation. Pain 2003; 103: 209- 10.
  15. Hlavin ML, Kaminski HJ, Ross JS, Ganz E: Spinal epidural abscess: a ten-year perspective. Neurosurgery 1990; 27: 177-84.
  16. Sandhu FS, Dillon WP: Spinal epidural abscess: evaluation with contrast-enhanced MR imaging. Am J Neuroradiol 1991; 12: 108793.
  17. Lang 1M, Hughes DG, Jenkins JP, St Clair Forbes W, McKenna F: MR imaging appearances of cervical epidural abscess. Clin Radial 1995; 50: 446-71.
  18. Mampalam TJ, Rosegay H, Andrews BT, Rosenblum ML, Pirrs LH: Nonoperarive treatment of spinal epidural infections. J Neurosurg 1989; 71: 208-10.
  19. Bartels RH, de Jong TR, Grotenhuis JA: Spinal subdural abscess. Case report. J Neurosurg 1992; 76: 307-11.
  20. Brennan PJ, DeGirolamo MP: Musculoskeletal infections in imrnunocompromised hosts. Orthop Clin North Am 1991; 22: 389-99.
  21. Yu SW, Chen WJ, Lin WC, Chen YJ, Tu YK: Serious pyogenic spondylitis following verrebroplasty-a case report. Spine 2004; 29: E209-11.