Home|Journals|Articles by Year|Audio Abstracts
 

Original Article

Ulutas Med J. 2019; 5(3): 209-214


Spinal Epidural Abscess in Patients with Chronic Renal Failure: A Single-Center Experience

Arsal Acarbas.




Abstract
Cited by 0 Articles

Background: Spinal epidural abscess (SEA) is an uncommon condition that can evolve to severe neurologic deficit or death if the diagnosis is delayed. We noticed an increase in the number of cases of SEA, with the majority in patients with chronic renal failure. The purpose of the study was to investigate the relationship between chronic renal failure (CRF) and spinal epidural abscess (SEA).
Materials and Methods: This retrospective study was conducted with the medical records of CRF patients who were treated for SEA in a single tertiary center. Clinical and demographic characteristics of the patients (age, gender, clinical symptoms, underlying conditions, predisposing factors, level of the abscess, causative organisms, preoperative motor status), treatments and outcomes were reviewed retrospectively. Levels of inflammatory markers (white blood cell, C-reactive protein, and erythrocyte sedimentation rate) and albumin were evaluated.
Results: Seven (58.3%) males and five (41.7%) females, with a mean age of 65.7±8.6 years (range, 56 to 82 years) were evaluated in this study. The most common symptoms were back pain and motor weakness. The functional status of 4 patients (33.3%) was unchanged after surgery, while seven patients (58.3%) had functional improvements. Significant improvements were observed regarding blood levels of inflammatory markers and albumin after the treatments.
Conclusion: The present study showed that surgical procedures have an important role in the management of SEA in patients with CRF.

Key words: Chronic renal failure, spinal epidural abscess, spinal surgery






Full-text options


Share this Article


Online Article Submission
• ejmanager.com




ejPort - eJManager.com
Refer & Earn
JournalList
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under Creative Commons Attribution 4.0 International License (CC BY), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.