Management of a post-operative multi-resistant infectious spondylitis associated with a kyphotic deformity.

Details

Serval ID
serval:BIB_33F30E34D753
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Title
Management of a post-operative multi-resistant infectious spondylitis associated with a kyphotic deformity.
Journal
Acta Orthopaedica Belgica
Author(s)
Neumayer F., Kosmopoulos V., Schizas C.
ISSN
0001-6462
Publication state
Published
Issued date
2009
Peer-reviewed
Oui
Volume
75
Number
4
Pages
566-570
Language
english
Notes
Publication types: Case Reports ; Journal Article ; Research Support, Non-U.S. Gov't
Abstract
Anterior spinal infection (prevertebral abscess and/or discitis) after posterior instrumentation for vertebral fractures is a challenging complication, since a new implant may become necessary anteriorly, in a septic environment. Generally accepted management guidelines are yet to be established. The authors present a case of posterior instrumentation for fractures of T12 and L1, complicated after 9 months with an anterior infection (prevertebral abscess and discitis) with extended-spectrum beta-lactamase (ESBL) producing Escherichia coli (E. coli). This case is unique in that the multi-resistant organism was isolated only after the second stage of infection treatment, which consisted of anterior débridement and anterior implantation of titanium cages and rods. In this particular case, infection was controlled despite implantation of multiple cages, screws and rods, and fusion was achieved, by means of intravenous antibiotic treatment for 12 months. At the latest follow-up, 24 months post surgery, there was no evidence of infection. This problem case may be helpful for surgeons confronted with spinal deformities secondary to infections with multi-resistant organisms.
Keywords
Abscess/complications, Abscess/surgery, Adult, Debridement, Escherichia coli Infections/drug therapy, Female, Humans, Kyphosis/complications, Magnetic Resonance Imaging, Postoperative Complications/microbiology, Postoperative Complications/therapy, Spinal Fractures/surgery, Spondylitis/complications, Spondylitis/etiology
Pubmed
Web of science
Create date
30/10/2009 17:26
Last modification date
03/03/2018 15:50
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