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KMID : 0388720160230020108
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Journal of Korean Society of Spine Surgery
2016 Volume.23 No. 2 p.108 ~ p.113
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Late Pyogenic Spondylitis after Vertebroplasty with PMMA-filled Adjacent Segments: A Case Report
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Choi Eui-Sung
Kim Yong-Min
Chong Su-Ri
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Abstract
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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.
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KEYWORD
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Late pyogenic spondylitis, Adjacent vertebroplasty, Surgical intervention
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