title: Holocord spinal epidural abscess: Case report and literature review.
abstract: Holocord spinal epidural abscess (SEA) is a rare condition. To our knowledge, five cases of SEA have been reported so far, and no consensus has been made on the treatment yet. In this article, we report a case of holocord SEA and review literature to further understanding of SEA. The advent of antibiotic treatment and the recognition of surgical debridement have been important in searching for alternatives to recovery, so the patient was treated surgically together with systemic antibiotics. The patient remained neurologically stable and continued to be clinically in good condition without any low back pain after 1 year. Surgical drainage, together with systemic antibiotics, is the main treatment choice for extensive SEAs. Although treatment should be considered that highlights the importance of examining the factors related to the health and condition of the patients and the anatomy and extent of the abscess, early surgical treatment associated with prolonged antibiotic treatment is necessary.
authors.affiliation: Department of orthopaedic surgery, Affiliated Hospital of Qingdao University, 266000 Qingdao, China.
authors.forename: H
authors.initials: H
authors.lastname: Xiang
authors.affiliation: Department of orthopaedic surgery, Affiliated Hospital of Qingdao University, 266000 Qingdao, China.
authors.forename: X
authors.initials: X
authors.lastname: Ma
authors.affiliation: Department of rehabilitation, Affiliated Hospital of Qingdao University, 266000 Qingdao, China.
authors.forename: N
authors.initials: N
authors.lastname: Shen
authors.affiliation: Department of orthopaedic surgery, Affiliated Hospital of Qingdao University, 266000 Qingdao, China.
authors.forename: B
authors.initials: B
authors.lastname: Yue
authors.affiliation: Department of orthopaedic surgery, Affiliated Hospital of Qingdao University, 266000 Qingdao, China.
authors.forename: G
authors.initials: G
authors.lastname: Zhang
authors.affiliation: Department of orthopaedic surgery, Affiliated Hospital of Qingdao University, 266000 Qingdao, China. Electronic address: bhchen@hotmail.com.
authors.forename: B
authors.initials: B
authors.lastname: Chen
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D020802:Epidural Abscess / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification; D010146:Pain / Q000209:etiology; D012021:Reflex, Abnormal; D013117:Spinal Cord Compression / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000628:therapy; D007507:Therapeutic Irrigation
chemical_list: D000900:Anti-Bacterial Agents
keywords: Abscess; Spine; Surgery