Hemodialysis-Associated Spondylodiscitis of the Cervical Spine.

Autor: Shaw, K. Aaron, Boomsma, Shawn E., Johnson, Peter C., Gloystein, David M.
Předmět:
Zdroj: JBJS Case Connector; Oct-Dec2015, Vol. 5 Issue 4, p1-4, 4p
Abstrakt: Case: A fifty-seven-year-old, hemodialysis-dependent man presented with a one-month history of progressive neck pain and paresthesias of the upper extremities. Radiographic examination demonstrated collapse of the C5 and C6 vertebrae with resultant kyphosis and spinal cord compression. Conclusion: The patient underwent a staged anterior debridement with C5 and C6 corpectomies, cage placement, and plate fixation of C4 to C7, followed by a posterior arthrodesis from C4 to C7. He completed a six-week course of intravenous antibiotics for the treatment of Staphylococcus epidermidis spondylodiscitis, followed by suppressive oral antibiotics. At one year of follow-up, he had no residual neck pain or neurological signs or symptoms. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index