Day Case Lumbar Fusion Surgery
The article discusses a case of Streptococcus constellatus (SC) infection after vertebral augmentation (VA), which can be a life-threatening complication. The case involves a 67-year-old male who experienced lumbar pain and underwent percutaneous vertebroplasty two months prior. Upon admission, it was found that he had an infection in the lumbar vertebrae and abscesses. After three weeks of anti-infective therapy, abscess removal and lumbar vertebrae fusion were performed. Pathology and next-generation sequencing (NGS) examination confirmed the SC infection, and the patient was treated with oral linezolid for 12 weeks. The infection was eventually cured, highlighting the importance of NGS in identifying unknown pathogens. The article concludes that surgery combined with sensitive antibiotics is appropriate for patients with progressive neurological deficits
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most experienced day surgery hospital in London
Published article
Although Streptococcus constellatus (SC), an opportunistic pathogen, can cause abscesses and empyema. The SC infection after vertebral augmentation (VA) can interfere with patients’ daily living activities and can be life-threatening in severe cases. A 67-year-old male complained of lumbar pain for two months. The patient underwent percutaneous vertebroplasty of the second and third lumbar vertebrae two months ago. On admission, laboratory and imaging evidence suggested infection of the second…
Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
Jt Dis Relat Surg. 2023 Sep 16;34(3):731-736. doi: 10.52312/jdrs.2023.1182.ABSTRACTAlthough Streptococcus constellatus (SC), an opportunistic pathogen, can cause abscesses and empyema. The SC infection after vertebral augmentation (VA) can interfere with patients’ daily living activities and can be life-threatening in severe cases. A 67-year-old male complained of lumbar pain for two months. The patient underwent percutaneous,
Jt Dis Relat Surg. 2023 Sep 16;34(3):731-736. doi: 10.52312/jdrs.2023.1182.
ABSTRACT
Although Streptococcus constellatus (SC), an opportunistic pathogen, can cause abscesses and empyema. The SC infection after vertebral augmentation (VA) can interfere with patients’ daily living activities and can be life-threatening in severe cases. A 67-year-old male complained of lumbar pain for two months. The patient underwent percutaneous vertebroplasty of the second and third lumbar vertebrae two months ago. On admission, laboratory and imaging evidence suggested infection of the second and third lumbar vertebrae with bilateral psoas major and left lumbodorsal abscesses. After three weeks of empirical anti-infective therapy, abscess removal and the second and third lumbar vertebrae fusion with iliac bone graft were performed under general anesthesia. Intraoperative pathology and next-generation sequencing (NGS) examination of the pus suggested SC infection, and oral linezolid was given for 12 weeks after surgery. The infection was eventually cured and the patient achieved satisfactory function. In , pyogenic spondylitis due to SC infection after VA is a life-threatening complication. In addition to infectious disease consultation and routine etiological screening, NGS is important to identify infection with unknown pathogens. Surgery combined with sensitive antibiotics is appropriate for patients with progressive neurological deficits.
PMID:37750280 | DOI:10.52312/jdrs.2023.1182
The London Spine Unit : most experienced day surgery hospital in London
Read the original publication:
A rare case of aggressive pyogenic spondylitis with giant abscesses after vertebral augmentation
