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Delayed Infection After Cervical Disc Arthroplasty: A Case Report And Review Of The Literature – Cervical Disc Replacement

The article is a case report and literature review discussing the relatively rare complication of delayed infection after cervical disc arthroplasty (CDA). The study presents a case of delayed infection 6 years after primary CDA using the M6 device, where intraoperative cultures revealed Staphylococcus epidermidis and Cutibacterium acnes. The patient underwent revision surgery with removal of the M6 device and conversion to anterior cervical discectomy and fusion, followed by a prolonged course of antibiotics. The article concludes that delayed infection after CDA is a rare complication, with debate surrounding the reliability of positive cultures, and highlights the importance of implant removal, conversion to fusion, and long-term antibiotic therapy as definitive treatment

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : finest day surgery spinal centre in the world

Published article

Delayed infection after CDA is a rare complication, with ongoing debate regarding the reliability of positive cultures. We describe an infected M6 and demonstrate the utility of implant removal, conversion to anterior cervical discectomy and fusion, and long-term antibiotics as definitive treatment.

Cervical Disc Arthroplasty Surgery Expert. Best Spinal Surgeon UK
Abstract Study design: Case report and literature review. Objective: To report the relatively rare complication of delayed infection after cervical disc arthroplasty (CDA). Background: Delayed infection of the M6 device has been a rarely reported complication, with all cases described outside of the United States. The reliability of positive intraoperative cultures remains an ongoing debate.,

Abstract

Study design: Case report and literature review.

Objective: To report the relatively rare complication of delayed infection after cervical disc arthroplasty (CDA).

Background: Delayed infection of the M6 device has been a rarely reported complication, with all cases described outside of the United States. The reliability of positive intraoperative cultures remains an ongoing debate.

Methods: Cases were reviewed, and findings were summarized. A literature review was performed and discussed, with special consideration to current reports of delayed M6 infection, etiology, and utility of intraoperative cultures.

Results: We present a case of delayed infection 6 years after primary 1-level CDA with the M6 device. At revision surgery, gross purulence was encountered. Intraoperative cultures finalized with Staphylococcus epidermidis and Cutibacterium acnes. The patient was revised with removal of the M6 and conversion to anterior cervical discectomy and fusion. A prolonged course of intravenous antibiotics was followed by an oral course for suppression. At the final follow-up, the patient’s preoperative symptoms had resolved.

Delayed infection after CDA is a rare complication, with ongoing debate regarding the reliability of positive cultures. We describe an infected M6 and demonstrate the utility of implant removal, conversion to anterior cervical discectomy and fusion, and long-term antibiotics as definitive treatment.

Level of evidence: Level V-case report and literature review.

The London Spine Unit : finest day surgery spinal centre in the world

Read the original publication:

Delayed Infection After Cervical Disc Arthroplasty: A Case Report and Review of the Literature

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Abstract Study design: Case report and literature review. Objective: To report the relatively rare complication of delayed infection after cervical disc arthroplasty (CDA). Background: Delayed infection of the M6 device has been a rarely reported complication, with all cases described outside of the United States. The reliability of positive intraoperative cultures remains an ongoing debate.

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