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- Past Cases
- Thoracic Spine Epidural Abscess ...
Thoracic Spine Epidural Abscess Causing Paraplegia
Epidural Abscess and Osteomyelitis
- 60 year old with paraparesis and fever denovo
- Cord compression noted on preop CT and MRI scan
Preop Sagittal CT
Preop Axial CT
Surgery
- Posterior approach
- Laminectomy
- Transpedicular corpectomy and decompression of the anterior aspect of the cord and debridement of the vertebral body
- Pack autologous iliac crest bone graft. Harvest it 1st before the spine procedure
- Posterior Fixation with postop Immobilization TLSO
- 3 months of IV antibiotics Ancef following CRP and sed rate
Excellent Outcome
