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Minimally invasive percutaneous endoscopic remedy 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 remedy 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 have been carried out. One week after endoscopic remedy, her signs of again ache and nerve palsy improved considerably. After endoscopic remedy, the affected person underwent conservative remedy with acceptable antibiotics in line with the bacterial tradition take a look at 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]