Expert’s comment concerning Grand Rounds case entitled “Pure distraction injury of T1–2 with quad fever” by Jun-Yeong Seo et al. (Eur Spine J [2017]: doi:10.1007/s00586-017-5232-2)

[摘要] This is a well-written case report and literature review describing a T1–T2 distraction and spinal cord injury (SCI) in a 52-year-old male [1]. The paper highlights many of the challenging aspects of diagnostics and treating postoperative fever in a patient with a cervical level of neurologic impairment. The authors focus on quad fever, which represents a rare condition of prolonged body temperature elevation above 40 C in tetraplegic patients once all potential sources of fever and infection have been ruled out.