Cervical Spondylodiscitis Revealed by Tracheostomy Infected: A Rare Case Report Management and Outcome  

作　　者：José Dimbimakoso Djimrabeye Alngar Moune Michèle Yolande Mustapha Hamama Nizaireel Fatemi Rachid El Maaquil José Dimbimakoso;Djimrabeye Alngar;Moune Michèle Yolande;Mustapha Hamama;Nizaireel Fatemi;Rachid El Maaquil(Faculty of Medicine and Pharmacy, Université Mohamed V, Rabat, Morocco;Department of Neurosurgery, CHU ibnSina, Rabat, Morocco)

机构地区：[1]Faculty of Medicine and Pharmacy, Université Mohamed V, Rabat, Morocco [2]Department of Neurosurgery, CHU ibnSina, Rabat, Morocco

出　　处：《Open Journal of Modern Neurosurgery》2023年第1期18-24,共7页现代神经外科学进展（英文）

摘　　要：Background: Spondylodiscitis is a spinal infection rare affecting primarily the intervertebral disk and the adjacent vertebral bodies. His diagnosis is difficult and often delayed or missed due to the rarity of the disease. Cervical spondylodiscitis has quite rare findings regarding the common location of spinal abscesses in the lumbar and thoracic regions. To obtain the best patient outcomes, these spinal infections require prompt diagnosis and appropriate treatment. Case description: A 44-year-old boy was admitted to the neurosurgery department of our hospital for heaviness in 4 limbs without gait disorders in context infected tracheostomy after staying in intensive care. MRI spine showed a spine deformity with lyse C4C5 epiduritis and spinal cord compressed. Antibiotics intravenous were started for 1 month the patient benefited from a corpectomy with an iliac graft and anterior cervical plate. The anatomopathological examination revealed an inflammation not specific.  He was therefore put on antibiotics for 6 weeks. Three months later the neck pain and limb pain resolved after treatment and a complete return of lower extremity strength. Conclusion: Cervical spondylodiscitis has increased and become more aggressive. While radical surgical debridement, stable reconstruction together with antibiotic therapy remained a reliable approach to achieve complete healing of the inflammation, anterior alone surgery became more applicable.Background: Spondylodiscitis is a spinal infection rare affecting primarily the intervertebral disk and the adjacent vertebral bodies. His diagnosis is difficult and often delayed or missed due to the rarity of the disease. Cervical spondylodiscitis has quite rare findings regarding the common location of spinal abscesses in the lumbar and thoracic regions. To obtain the best patient outcomes, these spinal infections require prompt diagnosis and appropriate treatment. Case description: A 44-year-old boy was admitted to the neurosurgery department of our hospital for heaviness in 4 limbs without gait disorders in context infected tracheostomy after staying in intensive care. MRI spine showed a spine deformity with lyse C4C5 epiduritis and spinal cord compressed. Antibiotics intravenous were started for 1 month the patient benefited from a corpectomy with an iliac graft and anterior cervical plate. The anatomopathological examination revealed an inflammation not specific.  He was therefore put on antibiotics for 6 weeks. Three months later the neck pain and limb pain resolved after treatment and a complete return of lower extremity strength. Conclusion: Cervical spondylodiscitis has increased and become more aggressive. While radical surgical debridement, stable reconstruction together with antibiotic therapy remained a reliable approach to achieve complete healing of the inflammation, anterior alone surgery became more applicable.

关 键 词：CERVICAL SPONDYLODISCITIS SPINAL TRACHEOSTOMY Infection 

分 类 号：R65[医药卫生—外科学]