1. High cervical spine spondylodiscitis management and literature review
- Author
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Marcel Luiz Benato, Xavier Soler i Graells, André Luís Sebben, Álynson Larocca Kulcheski, and Pedro Grein Del Santoro
- Subjects
Male ,Spondylodiscitis ,Staphylococcus aureus ,medicine.medical_specialty ,Discitis ,Cord ,Epidural abscess ,doenças da coluna vertebral ,cervicalgia ,Spinal disease ,discite ,03 medical and health sciences ,0302 clinical medicine ,Humans ,Medicine ,030212 general & internal medicine ,030222 orthopedics ,Neck pain ,lcsh:R5-920 ,medicine.diagnostic_test ,business.industry ,Magnetic resonance imaging ,General Medicine ,Middle Aged ,Staphylococcal Infections ,medicine.disease ,Magnetic Resonance Imaging ,Cervical spine ,Surgery ,Epidural Abscess ,Cervical Vertebrae ,medicine.symptom ,Tomography, X-Ray Computed ,business ,lcsh:Medicine (General) ,Spinal Cord Compression ,Spondylitis - Abstract
Summary Spondylodiscitis affecting the cervical spine is the most unusual type. Disease progression can be dramatic, even causing quadriplegia and death. We present an unusual case that progressed with osteolytic lesions between C2 and C3, causing cord compression and epidural abscess. The patient was treated surgically by a double approach and improved without neurological deficits and with better inflammatory markers. We reviewed the current literature on the subject.