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Updated: Jul 13, 2026

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

CO₂-Lasertonsillotomy Under Local Anesthesia in Adults

Published on: November 6, 2019

Acute cervical osteomyelitis and prevertebral abscess after routine tonsillectomy.

Alpesh A Patel¹, Luke Madigan, Kornelis A Poelstra

¹Department of Orthopaedic Surgery, University of Utah School of Medicine, Salt Lake City, UT 84108, USA. alpesh2@gmail.com

The Spine Journal : Official Journal of the North American Spine Society

|August 19, 2007

Summary

A rare but serious infection, cervical osteomyelitis and prevertebral abscess, can occur after tonsillectomy. Prompt surgical treatment and antibiotics are crucial for recovery and preventing severe outcomes.

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Last Updated: Jul 13, 2026

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

CO₂-Lasertonsillotomy Under Local Anesthesia in Adults

Published on: November 6, 2019

Area of Science:

Otolaryngology
Neurosurgery
Orthopedics
Spine Surgery

Background:

Tonsillectomy is a common surgical procedure.
Severe post-tonsillectomy infections are rare but potentially fatal.
This complication has not been previously documented in orthopedic, neurosurgical, or spine literature.

Observation:

A case report details a patient with prevertebral abscess and acute cervical osteomyelitis 6 weeks post-tonsillectomy.
Literature review was conducted on similar cases.

Findings:

The patient presented with deep cervical infection 6 weeks after tonsillectomy.
Treatment involved operative debridement, surgical stabilization, and a 6-week course of intravenous antibiotics.
At 24-month follow-up, the patient showed no signs of infection and a stable fusion mass.

Implications:

Acute cervical osteomyelitis and prevertebral abscess are rare complications of tonsillectomy.
Nonspecific symptoms necessitate a high clinical suspicion.
Delayed treatment can lead to significant morbidity and mortality.
Successful outcomes are achievable with prompt surgical intervention and antibiotic therapy.