Easy drainage of presacral abscess.
Presacral region is one of the difficult regions for drainage of abscess as the approaches described for this carry a lot of morbidities. Transpedicular approach is described for the drainage of presacral abscess. Further, tuberculous abscess as a cause of cauda equina syndrome is reported. Patient had complete neurological recovery within weeks of drainage of abscess. Transpedicular drainage of presacral abscess is a safer option for recently developed neurological deficit. Late presentation may need anterior approach, which is associated with increased morbidity.
Nigam
Vishal
V
Indian Spinal Injuries Centre, New Delhi, India. v_nigamdr@yahoo.com
Chhabra
H S
HS
D000038:Abscess / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D019299:Decompression, Surgical / Q000295:instrumentation / Q000379:methods*; D005471:Fluoroscopy; D006801:Humans; D007738:Kyphosis / Q000209:etiology / Q000473:pathology / Q000601:surgery; D017116:Low Back Pain / Q000209:etiology; D008279:Magnetic Resonance Imaging; D008297:Male; D034161:Pelvic Infection / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D011128:Polyradiculopathy / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D012447:Sacrum / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D013123:Spinal Fusion; D013396:Suction / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome; D014399:Tuberculosis, Spinal / Q000150:complications / Q000473:pathology / Q000601:surgery*
D000995:Antitubercular Agents