Advertisement

European Spine Journal

, Volume 16, Supplement 3, pp 322–325 | Cite as

Easy drainage of presacral abscess

  • Vishal NigamEmail author
  • H. S. Chhabra
Cae Report

Abstract

Presacral region is one of the difficult regions for drainage of abscess as the approaches described for this carry a lot of morbidities. Transpedicular approach is described for the drainage of presacral abscess. Further, tuberculous abscess as a cause of cauda equina syndrome is reported. Patient had complete neurological recovery within weeks of drainage of abscess. Transpedicular drainage of presacral abscess is a safer option for recently developed neurological deficit. Late presentation may need anterior approach, which is associated with increased morbidity.

Keywords

Presacral abscess Transpedicular drainage 

References

  1. 1.
    Arya S, Crow WN, Hadjipaviou AG, Nauta HJ, Borowski AM, Vierra LA, Walser E (1996) Percutaneous transpedicular management of discitis. J Vasc Interv Radiol 7(6):921–927PubMedCrossRefGoogle Scholar
  2. 2.
    Bianchi C, Ballard JL, Abou-Zamzam AM, Teruya TH, Abu-Assal ML (2003) Anterior retroperitoneal lumbosacral spine exposure: operative technique and results. Ann Vasc Surg 17(2):137–142PubMedCrossRefGoogle Scholar
  3. 3.
    Buyukbebeci O, Karkurum G, Gulec A, Erbagci A (2004) Tuberculous osteomyelitis of the lumbosacral region: a spinal epidural abscess with presacral extension. Arch Orthop Trauma Surg 124(5):246–248CrossRefGoogle Scholar
  4. 4.
    Gennari L, Azzarelli A, Quagliuolo V (1987) A posterior approach for the excision of sacral chordoma. J Bone Joint Surg Br 69(4):565–568PubMedGoogle Scholar
  5. 5.
    Hadjipavlou AG, Katonis PK, Gaitanis IN, Muffoletto AJ, Tzermiadianos MN, Crow W (2004) Percutaneous transpedicular discectomy and drainage in pyogenic spondylodiscitis. Eur Spine J 13(8):707–713PubMedCrossRefGoogle Scholar
  6. 6.
    Kapoor SK, Garg V, Dhaon BK, Jindal M (2005) Tuberculosis of the posterior vertebral elements: a rare cause of compression of the cauda equina. A case report. J Bone Joint Surg Am 87(2):391–394PubMedCrossRefGoogle Scholar
  7. 7.
    Kennedy JG, Soffe KE, McGrath A, Stephens MM, Walsh MG, McManus F (1999) Predictors of outcome in cauda equina syndrome. Eur Spine J 8(4):317–322PubMedCrossRefGoogle Scholar
  8. 8.
    Mangialardi R, Mastorillo G, Minoia L, Garofalo R, Conserva F, Solarino GB (2002) Lumbar disc herniation and cauda equina syndrome. Considerations on a pathology with different clinical manifestations. Chir Organi Mov 87(1):35–42PubMedGoogle Scholar
  9. 9.
    Michalson AE, Brown BP, Warnock NG, Simonson TM (1994) Presacral abscesses: percutaneous transperineal drainage with use of bone landmarks and fluoroscopic guidance. Radiology 190(2):574–575PubMedGoogle Scholar
  10. 10.
    Rapport RL 2nd, Ferguson GS (1997) Dorsal approach to presacral biopsy: technical case report. Neurosurgery 40(5):1087–1088PubMedCrossRefGoogle Scholar
  11. 11.
    Trambert JJ (1999) Percutaneous interventions in the presacral space: CT-guided precoccygeal approach—early experience. Radiology 213(3):901–904PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  1. 1.Indian Spinal Injuries CentreNew DelhiIndia
  2. 2.NoidaIndia

Personalised recommendations