Management and outcome of whole-spine epidural abscesses – institutional case series and systematic review
Both surgical and conservative approaches can achieve favourable outcomes in selected WSEA cases. The strong correlation between initial and final neurological status emphasizes the importance of early diagnosis and targeted intervention. Skip-laminectomies with catheter-based irrigation appear effective while minimizing surgical morbidity. Conservative treatment may be considered in neurologically intact patients under close surveillance. Larger multicenter studies are needed to establish reliable treatment algorithms.
Authors
- Felix C. Stengel (ORCID: https://orcid.org/0009-0001-0415-3923)
- Benjamin Martens
- Nader Hejrati (ORCID: https://orcid.org/0000-0001-8583-9849)
- Carol Strahm (ORCID: https://orcid.org/0000-0002-1713-262X)
- Linda Bättig
- Stefan Motov (ORCID: https://orcid.org/0000-0003-1950-9168)
- Martin Wegener (ORCID: https://orcid.org/0000-0002-9770-2441)
- Lorenzo Bertulli (ORCID: https://orcid.org/0000-0002-4620-408X)
- Martin N. Stienen (ORCID: https://orcid.org/0000-0002-6417-1787)
- Erik Schulz
Institutions
- University of St.Gallen (CH)
Publication Details
- Journal
- Brain and Spine
- Published
- 2025-01-01
- DOI
- https://doi.org/10.1016/j.bas.2025.104297
- Citations
- 2
- Primary Topic
- Infectious Diseases and Tuberculosis
- Type
- article
- Field-Weighted Citation Impact
- 4.01