J Korean Orthop Assoc.
2021 Dec;56(6):519-524. 10.4055/jkoa.2021.56.6.519.
Bacterial Meningitis Complicated by Myelitis Following Anterior Cervical Spinal Surgery
- Affiliations
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- 1Department of Orthopaedic Surgery, St. Carollo Hospital, Suncheon, Korea
- KMID: 2523282
- DOI: http://doi.org/10.4055/jkoa.2021.56.6.519
Abstract
- Meningitis after spinal surgery occurs rarely but can be fatal. A 49-year-old male was diagnosed with compressive myelopathy due to cervical disc herniation at the C 5, 6 level and underwent anterior cervical discectomy and fusion (ACDF). He complained of severe neck pain and stiffness with fever postoperatively and one week after surgery, the patient presented with abrupt tetraplegia. The follow-up magnetic resonance imaging and cerebrospinal fluid analysis revealed bacterial meningitis complicated by myelitis. The patient was treated with antibiotics and steroid, but the outcome was poor. The authors report a case of meningitis combined with myelitis following anterior cervical spinal surgery.
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