Osteomyelitis of the Cervical Spine: Surgical Series

  • J. E. O. Hughes
  • G. V. DiGiacinto
  • N. Sundaresan
Conference paper


With the increase in drug abuse, infectious complications associated with it have become common in neurosurgical practice [1]. Over the past seven years, we have surgically managed 60 cases of osteomyelitis of the spine in two teaching hospitals of Columbia University, Harlem Hospital Center, a 682 bed general hospital which serves the Harlem community, and St. Lukes-Roosevelt Hospital Center, a 1300 bed community hospital serving the upper west side of Manhattan. At both hospitals, we take care of many intravenous drug abusers. In this surgical series there have been 17 cervical, 16 thoracic, and 27 lumbar cases. A total of 63 surgical procedures have been performed. All operations have been carried out anteriorly except in 5 cases when the pre-op diagnosis of osteomyelitis had not been known and in one case when a posterior occiput to C2 fusion was performed.


Cervical Spine Surgical Series Spinal Infection Bony Change Spinal Epidural Abscess 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Baker AS, Ojemann RG, Swartz MN et al (1975) Spinal epidural abscess. N Engl J Med 293: 463–468PubMedCrossRefGoogle Scholar
  2. 2.
    Browder J, Myers R (1937) Infections of the spinal epidural space: an aspect of vertebral osteomyelitis. Am J Surg 37: 4–26CrossRefGoogle Scholar
  3. 3.
    Digby JM, Kersly JB (1979) Pyogenic non-tuberculous spinal infection: an anal-ysis of thirty cases. JBJS 61-B: 47–55Google Scholar
  4. 4.
    Feldenzer JA, McKeenen PE, Schoberg DR et al (1988) The pathogenesis of spinal epidural abcess: microangiographic studies in an experimental model. J Neurosurg 69: 110–114PubMedCrossRefGoogle Scholar
  5. 5.
    Garcia A, Grantham SA (1960) Hematogenous pyogenic vertebral osteomyeHtis. JBJS 42-A: 429Google Scholar
  6. 6.
    Hancock DO (1973) A study of 49 patients with acute spinal extradural abcess. Paraplegia 10: 285–288PubMedCrossRefGoogle Scholar
  7. 7.
    Holzman RS, Bishko F (1971) OsteomyeHtis in heroine addicts. Ann Intern Med 75: 693–696PubMedGoogle Scholar
  8. 8.
    Hulme A, Dott NM (1954) Spinal epidural abscess. Br Med J 1: 64–68PubMedCrossRefGoogle Scholar
  9. 9.
    Kemp HBS, Jackson JW, Jeremiah JD (1973) Pyogenic infections occurring primarily in invertebral discs. JBJS 55-B: 698–714Google Scholar
  10. 10.
    LaRocca H (1982) Spinal sepsis. In: Rothman RH, Simeone FA (eds) The spine. WB Saunders, Philadelphia, pp 757–774Google Scholar
  11. 11.
    Messer HD, Litvinoff J (1976) Chondro-osteomyehtis of the cervical spine frequently associated with parenteral drug use. Arch Neurol 33: 571–576PubMedCrossRefGoogle Scholar
  12. 12.
    Stone DB, Bonfiglio M (1963) Pyogenic vertebral osteomyelitis, a diagnostic pitfall for the internist. Arch Int Med 112: 491–500CrossRefGoogle Scholar
  13. 13.
    Sullivan R, McCaslin FE (1960) Further studies on experimental spondylitis and intercorporeal fusion of the spine. JBJS 42-A: 1339–1348Google Scholar

Copyright information

© Springer-Verlag 1989

Authors and Affiliations

  • J. E. O. Hughes
    • 1
  • G. V. DiGiacinto
    • 1
  • N. Sundaresan
    • 1
  1. 1.New YorkUSA

Personalised recommendations