{"id":1158,"date":"2021-11-08T17:40:23","date_gmt":"2021-11-08T16:40:23","guid":{"rendered":"https:\/\/neurocirugialmeria.com\/?page_id=1158"},"modified":"2021-11-21T15:52:11","modified_gmt":"2021-11-21T14:52:11","slug":"infeccion-vertebral-almeria","status":"publish","type":"page","link":"https:\/\/neurocirugialmeria.com\/en\/infeccion-vertebral-almeria\/","title":{"rendered":"Spinal abscesses and empyemas"},"content":{"rendered":"<p class=\"has-text-align-center wp-block-paragraph\">Se trata de un tipo de infecci\u00f3n poco frecuente caracterizada por la aparici\u00f3n de un contenido purulento en el interior del canal raqu\u00eddeo. Su origen es bacteriano siendo los cocos gram +, en concreto los Staphylococcus, los g\u00e9rmenes m\u00e1s frecuentemente implicados. <\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">En cuanto a sus causas, adem\u00e1s de como complicaci\u00f3n de una intervenci\u00f3n o procedimiento invasivo sobre el canal raqu\u00eddeo, pueden aparecer como consecuencia de una siembra hemat\u00f3gena (a veces facilitada por heridas superficiales que den lugar a la entrada del germen) o bien por contig\u00fcidad debido a la presencia de una espondilodiscitis (infecci\u00f3n que afecta al disco intervertebral y a la v\u00e9rtebra) adyacente. <\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Se trata de un cuadro grave en el que adem\u00e1s de fiebre y malestar general va a aparecer un dolor intenso a nivel de la regi\u00f3n afectada. Adem\u00e1s de ello, la presencia de pus en el canal intrarraqu\u00eddeo va a condicionar con alta probabilidad un compromiso de espacio que puede provocar un da\u00f1o neurol\u00f3gico traducido en la p\u00e9rdida de fuerza o sensibilidad por debajo de la zona afectada. Debe en estos casos valorarse la descompresi\u00f3n quir\u00fargica urgente con la evacuaci\u00f3n del contenido purulento.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"932\" height=\"692\" data-attachment-id=\"1205\" data-permalink=\"https:\/\/neurocirugialmeria.com\/en\/cirugia-columna-ameria-empiema-epidural-espinal\/\" data-orig-file=\"https:\/\/i0.wp.com\/neurocirugialmeria.com\/wp-content\/uploads\/2021\/11\/cirugia-columna-ameria-empiema-epidural-espinal.jpg?fit=932%2C692&amp;ssl=1\" data-orig-size=\"932,692\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1637509589&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"cirugia-columna-ameria-empiema-epidural-espinal\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/neurocirugialmeria.com\/wp-content\/uploads\/2021\/11\/cirugia-columna-ameria-empiema-epidural-espinal.jpg?fit=932%2C692&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/neurocirugialmeria.com\/wp-content\/uploads\/2021\/11\/cirugia-columna-ameria-empiema-epidural-espinal.jpg?resize=932%2C692&#038;ssl=1\" alt=\"\" class=\"wp-image-1205\" \/><figcaption>A la izquierda se aprecia un empiema epidural espinal secundario a una espondilodiscitis. La colecci\u00f3n purulenta ocupa el canal raqu\u00eddeo desde L3-L4 hasta S1. La imagen de la derecha corresponde al control postquir\u00fargico donde se ha llevado a cabo la laminectom\u00eda y evacuaci\u00f3n completa del pus. <\/figcaption><\/figure>\n\n\n<div class=\"wp-block-jetpack-contact-form is-layout-flex wp-container-jetpack-contact-form-is-layout-7f6ac06e wp-block-jetpack-contact-form-is-layout-flex\"><a href=\"https:\/\/neurocirugialmeria.com\/en\/infeccion-vertebral-almeria\/\" target=\"_blank\" rel=\"noopener noreferrer\">Submit a form.<\/a><\/div>","protected":false},"excerpt":{"rendered":"<p>Se trata de un tipo de infecci\u00f3n poco frecuente caracterizada por la aparici\u00f3n de un contenido purulento en el interior del canal raqu\u00eddeo. Su origen es bacteriano siendo los cocos gram +, en concreto los Staphylococcus, los g\u00e9rmenes m\u00e1s frecuentemente implicados. En cuanto a sus causas, adem\u00e1s de como complicaci\u00f3n de una intervenci\u00f3n o procedimiento&#8230;<\/p>","protected":false},"author":183523340,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","_wpcom_ai_launchpad_about_page":false,"_wpcom_ai_launchpad_gallery_page":false,"_wpcom_ai_launchpad_contact_page":false,"_wpcom_ai_launchpad_events_page":false,"_wpcom_ai_launchpad_video_page":false,"_wpcom_ai_launchpad_portfolio_piece":false,"footnotes":""},"class_list":["post-1158","page","type-page","status-publish","hentry"],"jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/PbS7CP-iG","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/pages\/1158","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/users\/183523340"}],"replies":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/comments?post=1158"}],"version-history":[{"count":11,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/pages\/1158\/revisions"}],"predecessor-version":[{"id":1208,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/pages\/1158\/revisions\/1208"}],"wp:attachment":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/media?parent=1158"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}