Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 5 Issue 11

Treatment of Holospinal Epidural Abscess with Selective Skip Laminectomies and Catheter Irrigation: A Case Report

Alexander Doederlein, George Beeton, Zachary Loeffelholz* and Cezar Sandu

Department of Orthopedic Surgery, John Peter Smith Hospital, Fort Worth, TX, United States

*Corresponding Author: Zachary Loeffelholz, Department of Orthopedic Surgery, John Peter Smith Hospital, Fort Worth, TX, United States.

Received: August 16, 2022; Published: October 07, 2022


Case: A 60-year-male presented with fever, neck pain, and altered mental status. An MRI revealed an extensive epidural abscess running from the cervical to lumbar spine with multiple paraspinal musculature abscesses and a retropharyngeal/prevertebral abscess.

Conclusion: The patient was treated with intravenous broad-spectrum antibiotics and surgical debridement. Skip laminectomies were performed at T4 and T10, and catheters were inserted at these entry points and ran along the length of the spine for irrigation/aspiration. This technique facilitated the reduction of infectious burden while maintaining spinal column stability.

Keywords: Holospinal Epidural Abscess; Laminectomies; Catheter Irrigation


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Citation: Zachary Loeffelholz., et al. “Treatment of Holospinal Epidural Abscess with Selective Skip Laminectomies and Catheter Irrigation: A Case Report" Acta Scientific Orthopaedics 5.11 (2022): 49-53.


Copyright: © 2022 Zachary Loeffelholz., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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