Postoperative pyoderma gangrenosum after spinal fusion with instrumentation: case report.

Pyoderma gangrenosum (PG) is a rare inflammatory dermatosis that is most often associated with inflammatory bowel disease, but which can occur as a pathergic reaction around surgical incisions. The authors report the case of a patient who developed postoperative PG over the course of several months...

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Publicado en:Journal of Neurosurgery: Spine pp. 1 - 8
Autores principales: Snyder, M Harrison, Ampie, Leonel, Forrester, Vernon J, Wilson, JoAnne C, Nguyen, James H, Shaffrey, Christopher I, Buchholz, Avery L
Formato: Journal Article
Publicado: American Association of Neurological Surgeons & the Journal of Neurosurgical Publishing Group Oct 25, 2019
Acceso en línea:Ver este registro en EBSCOhost
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        15475654
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      jtl: Journal of Neurosurgery: Spine
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      dt: Oct 25, 2019
      pid: 13926
      pub: American Association of Neurological Surgeons & the Journal of Neurosurgical Publishing Group
      place: Rolling Meadows, Illinois
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        139345738
        139345738
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        10.3171/2019.7.SPINE19708
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        139345738
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        atl: Postoperative pyoderma gangrenosum after spinal fusion with instrumentation: case report.
      aug:
        au:
          Snyder, M Harrison
          Ampie, Leonel
          Forrester, Vernon J
          Wilson, JoAnne C
          Nguyen, James H
          Shaffrey, Christopher I
          Buchholz, Avery L
        affil: Departments of1Neurological Surgery and
      sug:
        subj:
          Spinal Diseases Surgery
          Postoperative Complications Surgery
          Pyoderma Gangrenosum Surgery
          Spinal Fusion Methods
          Pyoderma Gangrenosum Complications
          Female
          Treatment Outcomes
          Postoperative Complications Diagnosis
          Spinal Diseases Diagnosis
          Pyoderma Gangrenosum Diagnosis
          Neurosurgery Adverse Effects
          Female
      ab: Pyoderma gangrenosum (PG) is a rare inflammatory dermatosis that is most often associated with inflammatory bowel disease, but which can occur as a pathergic reaction around surgical incisions. The authors report the case of a patient who developed postoperative PG over the course of several months after undergoing extensive spinal instrumentation between the T4 and iliac levels. This is only the second such case occurring after spine surgery to be reported. The authors additionally review the literature to characterize treatment approaches and outcomes for this condition. The case highlights a potentially severe adverse effect of surgery that can be difficult to recognize and causes delays in effective treatment. It also demonstrates the importance of multidisciplinary collaboration in the effective care of patients.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Unknown
    language: English
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