Late Pyogenic Spondylitis after Vertebroplasty with PMMA-filled Adjacent Segments: A Case Report.
10.4184/jkss.2016.23.2.108
- Author:
Eui Sung CHOI
1
;
Yong Min KIM
;
Suri CHONG
Author Information
1. Department of Orthopaedic Surgery, Chungbuk National University, Cheongju, Korea. ymkim@chungbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Late pyogenic spondylitis;
Adjacent vertebroplasty;
Surgical intervention
- MeSH:
Anti-Bacterial Agents;
Female;
Humans;
Spondylitis*;
Vertebroplasty*
- From:Journal of Korean Society of Spine Surgery
2016;23(2):108-113
- CountryRepublic of Korea
- Language:Korean
-
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 AND METHODS: 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.
