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.
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References
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):921–927
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):137–142
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):246–248
Gennari L, Azzarelli A, Quagliuolo V (1987) A posterior approach for the excision of sacral chordoma. J Bone Joint Surg Br 69(4):565–568
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):707–713
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):391–394
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):317–322
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):35–42
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):574–575
Rapport RL 2nd, Ferguson GS (1997) Dorsal approach to presacral biopsy: technical case report. Neurosurgery 40(5):1087–1088
Trambert JJ (1999) Percutaneous interventions in the presacral space: CT-guided precoccygeal approach—early experience. Radiology 213(3):901–904
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Nigam, V., Chhabra, H.S. Easy drainage of presacral abscess. Eur Spine J 16 (Suppl 3), 322–325 (2007). https://doi.org/10.1007/s00586-006-0272-z
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DOI: https://doi.org/10.1007/s00586-006-0272-z