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Description

Case Description:

  • A 36-year-old man presented with a large epidural collection, shown on MRI to extend from C1-S5 and resulting in spinal canal narrowing (Figures 1-3). The patient was admitted for acute inpatient rehabilitation after neurosurgical treatment and stabilization s/p C7-T1, T7-8, L4-5 laminectomies.
  • He presented with impaired mobility and activities of daily living, and reported moderate pain in the back and lower extremities, but without specific distribution, during PT/OT therapies.
  • Throughout his 7-day length of stay, the patient was closely monitored for methicillin-susceptible S. aureus bacteremia, and he received IV oxacillin and oral rifampin. Active medical problems included bright red blood per rectum with a likely diagnosis of hemorrhoids, DVT prophylaxis, newly diagnosed Type 2 DM, and urinary retention.
  • The patient was switched from straight to intermittent catheter, but inability to void was complicated by urinary tract infection (UTI). Voiding improved after UTI treatment with macrobid antibiotic.

Publication Date

2-19-2016

Keywords

Acute Rehabilitation of Spinal Epidural Abscess Following Triple Laminectomy, A Case Report, Rehabilitation, Orthopedics, Thomas Jefferson University

Disciplines

Orthopedics

Comments

Poster presented at: 2016 AAP Annual Meeting in Sacramento California.

Acute Rehabilitation of Spinal Epidural Abscess Following Triple Laminectomy: A Case Report

Included in

Orthopedics Commons

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