Management Of Spinal Epidural Abscess Following Lumbar Epidural Steroid Injections
We present a case of a 66-year-old obese female with a history of spinal stenosis who presented for 1-week of persistent back pain and heart palpitation despite two lumbar epidural steroid injections at two different facilities. She developed radiating bilateral lumbar paraspinal pain. MRI showed a large ring-enhancing-abscess encasing most of the cervical, thoracic and lumbar spine, which prompted antibiotics and urgent debridement, multiple level laminectomies and two additional reoperations. Postoperative recovery was complicated by seizure, gait instability, and declined mental status. We discuss risk factors and optimization strategies to reduce the risk of infection following lumbar epidural steroid injection.
Pham L, Fowler J, Soto R. Management strategy for spinal epidural abscess following lumbar epidural steroid injections. Presented at: American Society of Anesthesiology Annual Meeting; 2022 Oct 21-25; New Orleans, LA.
American Society of Anesthesiology Annual Meeting, New Orleans, LA, October 21-25, 2022.