Delayed Pyogenic Spondylitis at the Same Level as Rod Fracture After Surgery for Adult Spinal Deformity: A Case Report.
Journal
JBJS case connector
ISSN: 2160-3251
Titre abrégé: JBJS Case Connect
Pays: United States
ID NLM: 101596828
Informations de publication
Date de publication:
01 04 2023
01 04 2023
Historique:
medline:
15
5
2023
pubmed:
12
5
2023
entrez:
12
5
2023
Statut:
epublish
Résumé
Rod fracture (RF) occurred at L5-S level in a 79-year-old woman 7 months after spinal corrective surgery for adult spinal deformity (ASD). Four years after the surgery, pyogenic spondylitis occurred at the same level as RF. After the reinforcement of broken rods posteriorly, a transperitoneal approach was used for debridement and bone graft. However, prolonged infection, adhesive ileus, and small bowel perforation led to a total of 3 reoperations, resulting a colostomy. Three years after the reoperation, she was ambulatory with assistance. We need to follow-up postoperative ASD patients carefully because a single complication can lead to serious consequences.
Identifiants
pubmed: 37172114
doi: 10.2106/JBJS.CC.22.00561
pii: 01709767-202306000-00029
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.
Déclaration de conflit d'intérêts
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C94).
Références
Smith JS, Klineberg E, Lafage V, Shaffrey CI, Schwab F, Lafage R, Hostin R, Mundis GM Jr, Errico TJ, Kim HJ, Protopsaltis TS, Hamilton K, Scheer JK, Soroceanu A, Kelly MP, Line B, Gupta M, Deviren V, Hart R, Burton DC, Bess S, Ames CP; International Spine Study Group. Prospective multicenter assessment of perioperative and minimum 2-year postoperative complication rates associated with adult spinal deformity surgery. J Neurosurg Spine. 2016;25(1):1-14.
Fanous AA, Kolcun JPG, Brusko GD, Paci M, Ghobrial GM, Nakhla J, Eleswarapu A, Lebwohl NH, Green BA, Gjolaj JP. Surgical site infection as a risk factor for long-term instrumentation failure in patients with spinal deformity: a retrospective cohort study. World Neurosurg. 2019;132:e514-9.
Lertudomphonwanit T, Bridwell KH, Kelly MP, Punyarat P, Theologis A, Sides BA, Gupta MC. Relationship of the character of rod fractures on outcomes following long thoracolumbar fusion to the sacrum for adult spinal deformity. Spine J. 2020;20(9):1452-63.
Bose B. Delayed infection after instrumented spine surgery: case reports and review of the literature. Spine J. 2003;3(5):394-9.
Skaf GS, Domloja NT, Fehlingsb MG, Bouclaousa CH, Sabbagha AS, Kanafanic ZA, Kanjc SS. Pyogenic spondylodiscitis: an overview. J Infect Public Health. 2010;3(1):5-16.
Sundararaj GD, Babu N, Amritanand R, Venkatesh K, Nithyananth M, Cherian VM, Lee VN. Treatment of haematogenous pyogenic vertebral osteomyelitis by single-stage anterior debridement, grafting of the defect and posterior instrumentation. J Bone Joint Surg Br. 2007;89-B(9):1201-5.
Fukuta S, Miyamoto K, Masuda T, Hosoe H, Kodama H, Nishimoto H, Sakaeda H, Shimizu K. Two-stage (posterior and anterior) surgical treatment using posterior spinal instrumentation for pyogenic and tuberculotic spondylitis. Spine (Phila Pa 1976). 2003;28(15):E302-8.
Manunga J, Alcala C, Smith J, Mirza A, Titus J, Skeik N, Senthil J, Stephenson E, Alexander J, Sullivan T. Technical approach, outcomes, and exposure-related complications in patients undergoing anterior lumbar interbody fusion. J Vasc Surg. 2021;73(3):992-8.
Takemoto M, Boissière L, Vital JM, Pellisé F, Perez-Grueso FJS, Kleinstück F, Acaroglu ER, Alanay A, Obeid I. Are sagittal spinopelvic radiographic parameters significantly associated with quality of life of adult spinal deformity patients? Multivariate linear regression analyses for pre-operative and short-term post-operative health-related quality of life. Eur Spine J. 2017;26(8):2176-86.
Ishikawa Y, Miyakoshi N, Kobayashi T, Abe T, Kijima H, Abe E, Shimada Y. Activities of daily living and patient satisfaction after long fusion for adult spinal deformity: a retrospective study. Eur Spine J. 2019;28(7):1670-7.