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Spinal cervical infection: a case report and current update

K L Saban1, R F Ghaly

  • 1Chicago Institute of Neurosurgery and Neuroresearch, Silver Cross Hospital Satellite, Joliet 60432, USA.

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses
|June 27, 1998
PubMed
Summary

Cervical spine infections, including osteomyelitis and discitis, often stem from Staphylococcus aureus and present with worsening neck pain. Prompt diagnosis and treatment with surgery and antibiotics are crucial to prevent irreversible neurological damage.

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Area of Science:

  • Spinal Surgery
  • Infectious Diseases
  • Neurosurgery

Background:

  • Cervical spine infections encompass osteomyelitis, discitis, and epidural abscesses, frequently caused by Staphylococcus aureus.
  • Hematogenous spread is the most common route of infection, originating from local or distant sources.

Observation:

  • Diagnosis can be challenging, with worsening neck pain upon movement as the primary symptom.
  • Neurological deficits may arise from nerve root or spinal cord compression.
  • Elevated erythrocyte sedimentation rate (ESR) and positive blood cultures can be indicative.

Findings:

  • Radiographic evidence may include paravertebral swelling, vertebral destruction, and epidural masses.
  • Early identification is critical to avert permanent neurological impairment.

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Implications:

  • Treatment necessitates surgical debridement and decompression for spinal stabilization.
  • A course of 8-12 weeks of intravenous antibiotics is standard.
  • Local antibiotic irrigation systems offer an adjunctive therapeutic approach.