# Postoperative myelitis subsequent to cervical spine radiofrequency ablation: a case report

**Authors:** Cuiyu Xu, Maoyu Ding, Yumei Yang, Chunke Dong, Xiaolong Xu, Zhicheng Qu, Wei Guo, Ying Cao

PMC · DOI: 10.3389/fsurg.2025.1570965 · Frontiers in Surgery · 2025-06-24

## TL;DR

A 75-year-old woman developed myelitis after cervical spine radiofrequency ablation, highlighting the need for strict aseptic protocols during the procedure.

## Contribution

This case report highlights the rare but severe complication of myelitis following cervical spine radiofrequency ablation.

## Key findings

- A 75-year-old female developed myelitis after cervical spine radiofrequency ablation.
- The case emphasizes the importance of rigorous aseptic protocols to prevent severe complications.
- The report discusses possible etiologies linking radiofrequency ablation to myelitis.

## Abstract

Commonly used minimally invasive treatment for cervical spondylotic diseases, cervical spine radiofrequency ablation (RFA) provides benefits of faster recovery and less trauma. However, data on the monitoring and management of postoperative complications, especially severe adverse events like myelitis, is limited. This case report details a 75-year-old female patient with a medical history of hypertension, cerebral infarction, and hyperlipidemia who subsequently developed myelitis after undergoing cervical spine radiofrequency ablation (RFA). The patient received effective treatment following a sequence of diagnostic and therapeutic measures, highlighting the risk of severe complications and the vital necessity of maintaining rigorous aseptic protocols during the procedure. This report extensively discusses the etiology of myelitis in this patient and explores the direct or indirect role of RFA in the development of myelitis.

## Linked entities

- **Diseases:** cerebral infarction (MONDO:0002679), hyperlipidemia (MONDO:0021187), myelitis (MONDO:0002565)

## Full-text entities

- **Diseases:** Postoperative (MESH:D019106), cerebral infarction (MESH:D002544), trauma (MESH:D014947), myelitis (MESH:D009187), hypertension (MESH:D006973), spondylotic diseases (MESH:D004194), hyperlipidemia (MESH:D006949)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12234466/full.md

## References

12 references — full list in the complete paper: https://tomesphere.com/paper/PMC12234466/full.md

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Source: https://tomesphere.com/paper/PMC12234466