Late Pyogenic Spondylitis after Vertebroplasty with PMMA-filled Adjacent Segments: A Case Report
Journal of Korean Society of Spine Surgery
;
: 108-113, 2016.
Article
Dans Coréen
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Spondylite
/
Vertébroplastie
/
Antibactériens
Limites du sujet:
Femelle
/
Humains
langue:
Coréen
Texte intégral:
Journal of Korean Society of Spine Surgery
Année:
2016
Type:
Article
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