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Spinal Cord Abscess
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What are the treatments for the infection?
Treatment for a spinal cord abscess is aimed at relieving the pressure on the spinal cord, and curing the infection. This is accomplished by the use of antibiotics initially. If this doesn't clear the abscess, surgery may be necessary.
A laminectomy is performed under general anesthesia. This means the person is put to sleep with medication. A laminectomy involves cutting through the bones of the spine. The abscess is then located and drained. This will relieve the pressure on the spinal cord. The abscess may reoccur in some instances.
What are the side effects of the treatments?
Infection may occur at the site of surgery, and may spread elsewhere in the body through the bloodstream. Also, there may be side effects specific to the antibiotic given.
What happens after treatment for the infection?
The person should be watched for any signs of infection. If any infection is noted, its cause should be identified and treated appropriately. The high rate of paralysis following treatment usually requires a prolonged course of rehabilitation, including physical therapy and occupational therapy.
How is the infection monitored?
The infection site will be observed to see that it heals normally. Repeat cultures of the site and the blood may be needed to show that the infection is resolved. Any new or worsening symptoms should be reported to the healthcare provider.
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Author: James Warson, MD Reviewer: William M. Boggs, MD Date Reviewed: 09/20/01
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