An update on a cervical epidural abscess case: Successful partial C4 corpectomy led to significant neurological recovery. The abscess was more phlegmon than liquid. A fibular allograft was used for anterior column reconstruction and stability.
Key takeaways:
- Abscesses can be more solid than expected on imaging — surgical planning should account for this
- Partial corpectomy offers excellent anterior cord decompression with anterior column reconstruction
- Material choice (titanium/allograft/autograft) matters less than the quality of decompression and fixation achieved
About Dr. Zeeshan Sardar
Dr. Sardar, MD, MSc, F.R.C.S.C, is Co-Chief of Spinal Deformity Surgery at NewYork-Presbyterian / Columbia University, performing the full range of cervical spine surgery including anterior cervical reconstruction and complex revision cases. To schedule a consultation, call 212-932-5187 or visit the contact page.
Case shared for educational purposes. This post does not constitute individualized medical advice.