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Minimally invasive percutaneous endoscopic therapy for acute pyogenic spondylodiscitis following vertebroplasty.
Eur Backbone J. 2018 Jan 22;:
Authors: Youn MS, Shin JK, Goh TS, Lee JS
Summary
INTRODUCTION: Acute pyogenic spondylodiscitis attributable to percutaneous vertebroplasty is a uncommon complication. We current the primary report of minimally invasive endoscopic therapy for acute spondylodiscitis attributable to vertebroplasty.
CASE PRESENTATION: A 60-year-old feminine was transferred with the symptom of proper hip flexion weak point for 1 day. The affected person underwent a vertebroplasty process due to L3 osteoporotic compression fracture at different hospital 6 weeks in the past. Bodily examination, laboratory discovering and magnetic resonance imaging revealed an acute pyogenic spondylodiscitis with proper L2 nerve root palsy attributable to compression of bone and cement after L3 physique collapse. Percutaneous endoscopic procedures together with needle biopsy, debridement, root decompression and drainage had been carried out. One week after endoscopic therapy, her signs of again ache and nerve palsy improved considerably. After endoscopic therapy, the affected person underwent conservative therapy with applicable antibiotics in response to the bacterial tradition check outcomes. Six weeks postoperatively, she was ache free with no neurological deficits or indicators of an infection. 5 months later, spontaneous fusion between L2 and L3 physique was noticed.
CONCLUSION: We report a case handled with endoscopic process with out open surgical procedure for acute pyogenic spondylodiscitis following vertebroplasty.
PMID: 29356984 [PubMed – as supplied by publisher]