case_images: PMC9874219_01
case_images: Preoperative x-ray (A), CT (B), and MRI (C) showed a diagnosis of traumatic cervical myelopathy.
case_images: fsurg-09-1065106-g001.jpg
case_images: PMC9874219_01_fsurg-09-1065106-g001.jpg
case_images: F1
case_images: A 56-year-old man diagnosed with traumatic cervical myelopathy was admitted to our department (4 November) (Figure 1).
case_images: Postoperative x-ray [(A) anterio-posterially and (B) laterally] showed a satisfactory posterior fixation of cervical spine from C2-7.
case_images: fsurg-09-1065106-g002.jpg
case_images: PMC9874219_01_fsurg-09-1065106-g002.jpg
case_images: F2
case_images: He recovered smoothly; therefore, all other supplemental medicines were gradually stopped on postoperative day 3 except the antibiotic in case of skull base fracture and intracranial infection (although no obvious basilar fracture was detected on preoperative head CT) (Figure 2).
case_images: During this fever period (12 November was on postoperative day 8), elevated CRP, NEU%, ESR, and WBC gradually decreased to normal ranges. PCT was always within normal range.
case_images: fsurg-09-1065106-g003.jpg
case_images: PMC9874219_01_fsurg-09-1065106-g003.jpg
case_images: F3
case_images: However, his temperature rose abruptly to 38 C on the morning of postoperative day 8 (12 November) (Figure 4); then, for fear of infectious reasons, full infectious workup tests were performed, and the results showed the following: WBC: 14.31x109/L (4-10), which decreased to normal range 2 days later; neutrophil% (NEU): 88.2 (50-70), which abated to normal range 10 days later; PCT: 0.203 ng/ml (<0.5), which was always in the normal range; ERS: 69 mm/h (0-20); and CRP: 99.8 mg/L (5-10), which decreased back to the normal 10 days later (Figure 3).
case_images: A relative bradycardia could be calculated as demonstrated in our case.
case_images: fsurg-09-1065106-g004.jpg
case_images: PMC9874219_01_fsurg-09-1065106-g004.jpg
case_images: F4
case_images: However, his temperature rose abruptly to 38 C on the morning of postoperative day 8 (12 November) (Figure 4); then, for fear of infectious reasons, full infectious workup tests were performed, and the results showed the following: WBC: 14.31x109/L (4-10), which decreased to normal range 2 days later; neutrophil% (NEU): 88.2 (50-70), which abated to normal range 10 days later; PCT: 0.203 ng/ml (<0.5), which was always in the normal range; ERS: 69 mm/h (0-20); and CRP: 99.8 mg/L (5-10), which decreased back to the normal 10 days later (Figure 3). Fortunately, that afternoon, the highest temperature of our patient was 37.5 C (Figure 4); symptom of fever gradually decreased to normal status after 48 h of discontinuing of the drugs (23 November).