ミウラ　イサム   Miura Isamu   三浦　勇    所属   医学部 医学科（東京女子医科大学病院）    職種   助教
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Spinal Subdural Abscess following Transforaminal Lumbar Interbody Fusion.
掲載誌名	正式名：Case reports in orthopedics 略　 称：Case Rep Orthop ISSNコード：20906749/20906757
掲載区分	国外
巻・号・頁	2020,pp.7372821
著者・共著者	Miura Isamu, Kubota Motoo, Momosaki Oji, Takebayashi Kento, Kawamata Takakazu, Yuzurihara Masahito
発行年月	2020
概要	Spinal subdural abscesses are rare lesions. We report the case of surgical site infection complicated with meningitis and rapidly progressive spinal subdural abscess caused by P. aeruginosa following transforaminal lumbar interbody fusion (TLIF). A 72-year-old woman was admitted to our hospital complaining of drop foot syndrome and sciatica caused by stenosis of the L5/6 intervertebral foramen accompanied by L5 lumbar vertebral fracture. Accordingly, TLIF of L5-L6 and balloon kyphoplasty of L5 were performed. On the 3rd postoperative day (POD), she was diagnosed with surgical site infection complicated with bacterial meningitis. Subcutaneous fluid, blood, and cerebrospinal fluid cultures indicated P. aeruginosa. On the 7th POD, a repeat MRI showed a large dorsal fluid collection consistent with a subdural infection and massive cauda equina compression. We performed debridement and instrument removal and found a dural laceration that was not observed during the first operation. An intraoperative insensible dural laceration may cause bacteria intrusion into the subdural space.
DOI	10.1155/2020/7372821
PMID	32158580