A case of successful treatment of a multimorphic form of nonspecific purulent-inflammator y disease of the spine

Abstract

The article presents a clinical case of surgical treatment of a patient with a multimorphic form of nonspecific purulent-inflammatory lesions of the spine. This patient had spinal epiduritis, paraspinal and subdural abscesses, and purulent meningitis; the course was complicated by bilateral lower lobe pneumonia, systemic inflammatory response syndrome, and sepsis. The main stages of surgical correction were laminectomy, sanitation, and drainage of paraspinal, epidural and subdural abscesses, tracheostomy, puncture and drainage of the psoas abscess on the left side under ultrasound navigation. In addition, the patient received targeted antibiotic therapy. After treatment in the neurosurgical department, the patient was transferred to rehabilitation treatment. Based on the results of surgical treatment, a conclusion was made about the clinical validity of using a combination of methods for the treatment of patients with a multimorphic form of nonspecific purulent-inflammatory lesions of the spine.