Late Pyogenic Spondylitis after Vertebroplasty with PMMA - filled Adjacent Segments - A Case Report -  (척추성형술 후 지연성 화농성 척추염: 인접 분절 골시멘트 충전 상태 - 증례 보고 - )

Eui-Sung Choi (최의성); 김용민; 정수리

Late Pyogenic Spondylitis after Vertebroplasty with PMMA - filled Adjacent Segments - A Case Report -

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2016, 23(2), pp.108-113
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

Eui-Sung Choi ¹, 김용민 ¹, 정수리 ²

¹충북대학교
²충북대학교병원 정형외과학교실

Accredited

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. Result: 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.

KEYWORDS

Late pyogenic spondylitis, Adjacent vertebroplasty, Surgical intervention

Citation status

* References for papers published after 2023 are currently being built.

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Journal of Korean Society of Spine Surgery 2023 KCI Impact Factor : 0.03