Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 2 de 2
Filter
Add more filters










Database
Language
Publication year range
1.
Neurol India ; 71(2): 331-333, 2023.
Article in English | MEDLINE | ID: mdl-37148064

ABSTRACT

Spinal epidural abscess (SEA) is a very serious infection of the central nervous system (CNS). It is of very low incidence with a peak age in the geriatric age group. Immunocompromised patients are more susceptible to SEA. It can present with significant neurological deficits, which can be permanent if not identified and treated promptly. In this case report, a 75-year-old immunocompromised patient presented with progressive spastic quadriparesis and septicemia. He was diagnosed with a case of cervical spinal epidural abscess with underlying cord compression. Anterior retropharyngeal approach and button-hole disco-osteotomy of C5-C6 was performed and the cervical SEA was drained, followed by antibiotic saline irrigation (cranially and caudally) was done, total duration of surgery was 70 min. At the time of discharge (7th postoperative day), the patient improved neurologically and sepsis had resolved.


Subject(s)
Epidural Abscess , Male , Humans , Aged , Epidural Abscess/complications , Epidural Abscess/surgery , Epidural Abscess/diagnosis , Spine/surgery , Anti-Bacterial Agents/therapeutic use , Osteotomy , Drainage
2.
Asian J Neurosurg ; 16(4): 725-731, 2021.
Article in English | MEDLINE | ID: mdl-35071069

ABSTRACT

INTRODUCTION: In this double-blinded randomized controlled trial, we compare the long-term clinicoradiological effects of anterior cervical discectomy and fusion with polyether ether ketone implant (ACDF with PEEK) versus artificial cervical disc (cervical disc arthroplasty [CDA]) in patients with single and bilevel cervical degenerative disc disease (CDDD). AIMS: We aimed to compare the pain scores, cervical kinematics, and radiological outcomes in patients undergoing CDA and ACDF for single and bilevel CDDD over 5 years. SETTINGS AND DESIGN: This study was carried out from 2010 to 2019 in the Neurosurgery Department of a Tertiary Care Hospital attached to a Medical College in India. SUBJECTS AND METHODS: We enrolled 30 patients in each group. Clinical and radiological assessments were carried out for all patients over a period of 5 years. STATISTICAL ANALYSIS USED: Wilcoxon Signed-rank test, Mann-Whitney U-test, and Fischer's exact test were used for comparing the preoperative and follow-uP values. R software version 3.6.0 was used for statistical analysis. RESULTS: A significant improvement in the cervical range of motion, sagittal range of motion (ROM), and functional spinal unit (FSU) was observed in the CDA group at final follow-up, while the PEEK group reported a significant decrease in the ROM and FSU and the difference between the two groups was also found to be statistically significant. CONCLUSIONS: When assessed over 5 years following surgery, we found CDA to be superior with respect to ROM, FSU, overall cervical alignment, and maintenance of disc height when compared to ACDF with PEEK implant.

SELECTION OF CITATIONS
SEARCH DETAIL
...