Psoas Abscess and Discitis after Intradiscal Nucleoplasty. |
Wan Soo Oh, Yeong Ok Park, Woo Seok Shim, Hee Wook Wie, Chul Ho Woo |
1Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. pcoh@chollian.net 2Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Seoul, Korea. |
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Abstract |
Nucleoplasty is a newly developed minimal invasive spinal surgery using a coblation technique. The complications of this new spinal surgery are trauma to retroperitoneal organs involving the kidney, discitis, menigitis, and epidural abscess. Recently, postoperative psoas abscess and discitis appears to have increased in frequency, in part because procedures performed on the spine have been more frequent and improvements in diagnostic capabilities have been made.
Antibiotic therapy, abscess drainage, or a surgical procedure is required to treat discitis and psoas abscess.
We encountered one case of postoperative psoas abscess and discitis after a nucleoplasty that had not responded to antibiotics but which responded successfully to treatment by spinal surgery. |
Key Words:
Complication; discitis; nucleoplasty; psoas abscess |
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