Pyogenic discitis with an epidural abscess after cervical analgesic discography:A case report  

作　　者：Bing Wu Xin He Bao-Gan Peng 

机构地区：[1]Department of Spinal Surgery,the Third Medical Center,PLA General Hospital,Beijing 100039,China [2]Department of Orthopedics,the First Hospital of Qiqihar,Qiqihar 161000,Heilongjiang Province,China

出　　处：《World Journal of Clinical Cases》2020年第11期2318-2324,共7页世界临床病例杂志

基　　金：Supported by Foundation of Capital Medical Development,Beijing,China,No.2010026.

摘　　要：BACKGROUND Chronic neck pain is a common clinical problem.It has long been considered that degenerative cervical disc is an important source of chronic neck pain.In the clinic,cervical discography is thought to be a useful and safe method to distinguish aging discs from pathological discs,and the probability of complications caused by it is really rare.However,once complication occurs,it is likely to cause fatal consequences to patients.Therefore,accurate judgment and effective treatment are crucial.CASE SUMMARY A 45-year-old female was admitted to the department with a 5-year history of severe neck pain,dizziness,and tinnitus.In order to find the diseased disc,analgesic discography was performed on C4/5 and 6/7 discs successively.Unfortunately,Discitis with an epidural abscess was caused during the procedures.With the help of magnetic resonance imaging,an accurate diagnosis was made and an urgent anterior cervical operation was given subsequently.The patient ultimately recovered well.CONCLUSION Discitis with epidural abscess is a rare complication after cervical discography,which needs accurate diagnosis and effective antibiotic treatment.

关 键 词：DISCOGRAPHY DISCITIS Epidural abscess Diagnosis Treatment Magnetic resonance imaging 

分 类 号：R681.5[医药卫生—骨科学]