Late Pyogenic Spondylitis after Vertebroplasty with PMMA-filled Adjacent Segments: A Case Report
Journal of Korean Society of Spine Surgery
;
: 108-113, 2016.
Article
in Korean
| WPRIM
| ID: wpr-219356
ABSTRACT
OBJECTIVES:
To report a rare case of late pyogenic spondylitis around the cement mass in T12 that developed 4 years after vertebroplasty with L1-3 bodies already filled with cement due to previous vertebroplasty. SUMMARY OF LITERATURE REVIEW Pyogenic spondylitis after vertebroplasty is a rare complication, but very difficult to manage. MATERIALS ANDMETHODS:
A 56-year old female visited us with pyogenic spondylitis around the T12 body. The bodies of L1-L3 had been filled with cement eight years previously, followed by another vertebroplasty for T12 four years previously in a local clinic. At first, conservative management with intravenous antibiotics was attempted for 8 weeks, without clinical improvement. Therefore, anterior surgery for T12 corpectomy, removal of the cement, and fusion was performed.RESULTS:
The infection was cured and anterior fusion was achieved, and the patient was able to return to her previous activities.CONCLUSIONS:
Though previous vertebroplasty of the adjacent vertebral body seemed to be a major obstacle to achieving fusion, anterior surgical treatment was the ultimate solution to this complex problem.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Spondylitis
/
Vertebroplasty
/
Anti-Bacterial Agents
Limits:
Female
/
Humans
Language:
Korean
Journal:
Journal of Korean Society of Spine Surgery
Year:
2016
Type:
Article
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