CT fluoroscopy-guided percutaneous intervertebral drain insertion for cervical pyogenic spondylodiscitis

Özet

A 79-year-old man was admitted to our hospital with C6-C7 pyogenic spondylodiscitis withan epidural abscess. Since the cervical intervertebral space is narrower than the thoracolumbar intervertebral space, drain insertion into the cervical intervertebral space requires a moreaccurate procedure. Moreover, the specific anatomy of cervical vertebrae, which includes thetransverse foramen through which the vertebral artery passes and the uncinate process onthe side edges of the top surface of the bodies, makes it impossible to perform computed tomography (CT)-guided percutaneous intervertebral drain insertion through the posterolateral approach. Therefore, CT fluoroscopy-guided percutaneous cervical intervertebraldrain insertion using a lateral approach, in which the needle is advanced between the carotidsheath and scalene muscle, and simultaneous intravenous contrast enhancement might be asafe and useful technique. There have been no papers on CT fluoroscopy-guided percutaneous intervertebral drain insertion for cervical pyogenic spondylodiscitis, while successful CTfluoroscopy-guided percutaneous intervertebral drain insertion for thoracolumbar pyogenicspondylodiscitis has been reported. Here, we successfully performed CT fluoroscopy-guidedpercutaneous intervertebral drain insertion for cervical pyogenic spondylodiscitis.