Journal ArticleDOI
Spinal epidural abscess.
Krishna Kumar,Gary R. Hunter +1 more
TLDR
Erythrocyte sedimentation rate, muscle strength at time of admission, and timing of intervention were found to have a statistically significant relationship with outcome, and c-reactive protein, comorbidities, age, sex, and degree of thecal sac compression were discovered to have no prognostic value.Abstract:
Introduction: The incidence of spinal epidural abscesses (SEAs) is rising. Although increased awareness has led to decreased mortality, morbidity remains unacceptably high, with rapid deterioration of neurological status when there is a delay in initiation of treatment. Therefore, we need to build a better understanding of prognostic factors and management strategies. The goal of this article is to identify various prognostic factors, the role of inflammatory markers, optimal management strategies, and the relationship between timing of intervention and outcome.read more
Citations
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Staphylococcus aureus Infections: Epidemiology, Pathophysiology, Clinical Manifestations, and Management
TL;DR: This review comprehensively covers the epidemiology, pathophysiology, clinical manifestations, and management of S. aureus as a leading cause of bacteremia and infective endocarditis as well as osteoarticular, skin and soft tissue, pleuropulmonary, and device-related infections.
Journal Article
Interventional Techniques: Evidence-based Practice Guidelines in the Management of Chronic Spinal Pain
Mark V. Boswell,Andrea M. Trescot,Sukdeb Datta,Sukdeb Datta,David M. Schultz,Hans Hansen,Salahadin Abdi,Nalini Sehgal,Rinoo V. Shah,Vijay Singh,Ramsin M Benyamin,Vikram B. Patel,Ricardo M. Buenaventura,James D. Colson,Harold Cordner,Richard S. Epter,Joseph F. Jasper,Elmer E. Dunbar,Sairam Atluri,Richard C. Bowman,Timothy R. Deer,John R. Swicegood,Peter S. Staats,Howard S. Smith,Allen W. Burton,David Kloth,James Giordano,Laxmaiah Manchikanti +27 more
TL;DR: These guidelines include the evaluation of evidence for diagnostic and therapeutic treatment recommendations for chronic spinal pain, and the accuracy of facet joint nerve blocks is strong in the diagnosis of lumbar and cervical facet joint pain, whereas, it is moderate in the Diagnostic Accuracy Studies.
Journal Article
Comprehensive Evidence-Based Guidelines for Interventional Techniques in the Management of Chronic Spinal Pain
Laxmaiah Manchikanti,Mark V. Boswell,Vijay Singh,Ramsin M Benyamin,Bert Fellows,Salahadin Abdi,Ricardo M. Buenaventura,Ann Conn,Richard Derby,Stephanie Erhart,Sudhir Diwan,Salim M. Hayek,Allan T. Parr,David M. Schultz,Howard S. Smith,Lee R. Wolfer,Joshua A Hirsch +16 more
TL;DR: These guidelines include the evaluation of evidence for diagnostic and therapeutic procedures in managing chronic spinal pain and recommendations for managing spinal pain are described here to provide recommendations for clinicians.
Journal ArticleDOI
Nontuberculous pyogenic spinal infection in adults: a 12-year experience from a tertiary referral center.
TL;DR: In the majority of cases, conservative management of pyogenic spinal infection with antibiotic therapy and spinal bracing is very successful, however, in a minority of Cases, surgical intervention is warranted and referral to a specialist center is appropriate.
Journal ArticleDOI
Spinal epidural abscess in clinical practice.
TL;DR: The outcome of SEA is largely influenced by the severity and duration of neurological deficits prior to surgery, stressing the importance of early recognition.
References
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Journal ArticleDOI
Spinal epidural abscess: a meta-analysis of 915 patients.
TL;DR: The prognosis of patients who develop SEA following epidural anesthesia or analgesia is not better than that of patients with noniatrogenic SEA, and the mortality rate is also comparable, which means that Conservative treatment alone is justifiable only for specific indications.
Journal ArticleDOI
Spinal Epidural Abscess
TL;DR: The most common etiologic agent was Staphylococcus aureus (57%), followed by streptococci (18 per cent) and gram-negative bacilli (13 per cent), the source of infection was osteomyelitis in 38 per cent of cases and bacteremia in 26 per cent.
Journal ArticleDOI
Spinal epidural abscess: a ten-year perspective.
TL;DR: A retrospective study of spinal epidural abscess spanning 10 years and encompassing 40 patients was done, finding magnetic resonance imaging to be equally as sensitive as myelography with computed tomography and able to delineate other entities makes it the imaging modality of choice.
Journal ArticleDOI
Update of Spinal Epidural Abscess: 35 Cases and Review of the Literature
TL;DR: Thirty-five cases of spinal epidural abscess were evaluated retrospectively and compared with 153 cases reported in the literature, and abscesses in both the lumbar and anterior spinal compartments and patients with specific sources of infection occurred with greater frequency.
Journal ArticleDOI
Spinal epidural abscess: contemporary trends in etiology, evaluation, and management.
Daniele Rigamonti,Leon K. Liem,Prakash Sampath,Nachshon Knoller,Yuji Numaguchi,David L Schreibman,Michael A Sloan,Aizik L. Wolf,Seth M. Zeidman +8 more
TL;DR: The frequency of diagnosis of spinal epidural abscess is increasing and patients with localized back pain who are at risk for developing such abscesses or who have an increased erythrocyte sedimentation rate and/or neurologic deficit should have an immediate MRI scan with contrast enhancement.