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Spinal epidural abscess successfully treated with biportal endoscopic spinal surgery
Taewook Kang1, Si Young Park, Soon Hyuck Lee
1Department of Orthopaedics, Korea University College of Medicine, Seoul, South Korea.
Medicine
|December 20, 2019
Summary
Biportal endoscopic spinal surgery offers a minimally invasive approach for spinal epidural abscess (SEA) treatment. This technique effectively relieves pain and neurological symptoms with no complications in a 2-year follow-up.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Infectious Disease
Background:
- Spinal epidural abscess (SEA) is typically treated with surgical decompression and antibiotics.
- Minimally invasive techniques are increasingly adopted in spinal surgery.
- Biportal endoscopic spinal surgery has shown promise compared to open surgery.
Purpose of the Study:
- To evaluate the efficacy of biportal endoscopic spinal surgery for treating spinal epidural abscess (SEA).
Main Methods:
- Retrospective study of 13 patients with SEA treated between January 2016 and June 2017.
- Inclusion criteria: SEA with or without early spondylodiscitis and neurological symptoms.
- Outcomes assessed via serologic tests, imaging, physical exams, VAS, ODI, and Macnab criteria.
Main Results:
- Pathogens identified in 54% of biopsy specimens.
- All patients received at least 30 days of appropriate intravenous antibiotics.
- All patients experienced satisfactory pain and neurological symptom relief post-surgery.
- No surgery-related complications or recurrences observed at 2-year follow-up.
Conclusions:
- Biportal endoscopic spinal surgery is a potentially effective alternative to open surgery for SEA treatment.
- This minimally invasive approach yields satisfactory clinical outcomes.
- Further research may validate its role in managing spinal epidural abscess.
