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Pyogenic Spondylitis After Vertebroplasty
Ki-Young Kwon, M.D., Doo-Sik Kong, M.D., Eun-Sang Kim, M.D., Whan Eoh, M.D.
Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Pyogenic Spondylitis After Vertebroplasty
Ki-Young Kwon, M.D., Doo-Sik Kong, M.D., Eun-Sang Kim, M.D., Whan Eoh, M.D.
Abstract
Serious pyogenic spondylitis followed by percutaneous vertebroplasty using polymethyl methacrylate(PMMA) is a rare complication. We herein report a case of pyogenic spondylitis that occurred after vertebroplasty and insertion of interspinous extension block device.
An 80-year-old man underwent posterior hemilaminectomy and continuous irrigation with antibiotic-mixed sterile saline due to symptoms and signs of infection after intraoperative vertebroplasty and interspinous 'U' fixation for L3.4 and 5 osteoporotic compression fracture.
Clinical symptom and signs improved, however, abnormal laboratory findings persisted with fluctuation until 6 months of surgery. Vertebroplasty should be proceeded under careful sterile conditions.
Use of antibiotics mixed resin or intravenous antibiotics pre-and post-operatively should be considered for old aged or immune-compromised patients.
Keywords: Spondylitis.Vertebroplasty.PMMA


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