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

Year 2019, Volume: 5 Issue: 3, 209 - 214, 01.07.2019

Arsal Acarbas

https://doi.org/10.5455/umj.20190719032811

Abstract

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.

Keywords

Chronic renal failure, spinal epidural abscess, spinal surgery

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