TITLE:
Cervical Spondylodiscitis Revealed by Tracheostomy Infected: A Rare Case Report Management and Outcome
AUTHORS:
José Dimbimakoso, Djimrabeye Alngar, Moune Michèle Yolande, Mustapha Hamama, Nizaireel Fatemi, Rachid El Maaquil
KEYWORDS:
Cervical, Spondylodiscitis, Spinal, Tracheostomy, Infection
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.13 No.1,
January
9,
2023
ABSTRACT: Background: Spondylodiscitis is a spinal infection rare affecting primarily the
intervertebral disk and the adjacent vertebral bodies. His diagnosis is
difficult and often delayed or missed due to the rarity of the disease. Cervical
spondylodiscitis has quite rare findings regarding the common location of
spinal abscesses in the lumbar and thoracic regions. To
obtain the best patient outcomes, these spinal infections require prompt
diagnosis and appropriate treatment. Case description: A
44-year-old boy was admitted to the neurosurgery department of our hospital for
heaviness in 4 limbs without gait disorders in context infected tracheostomy
after staying in intensive care. MRI spine showed a spine deformity with lyse
C4C5 epiduritis and spinal cord compressed. Antibiotics intravenous were
started for 1 month the patient benefited from a corpectomy with an iliac graft
and anterior cervical plate. The anatomopathological examination revealed an
inflammation not specific. He was therefore
put on antibiotics for 6 weeks. Three months later the neck pain and limb pain
resolved after treatment and a complete return of lower extremity strength. Conclusion: Cervical
spondylodiscitis has increased and become more aggressive. While radical
surgical debridement, stable reconstruction together with antibiotic therapy
remained a reliable approach to achieve complete healing of the inflammation,
anterior alone surgery became more applicable.