Case Reports
. 2022 Jul 29;14(7):e27457.
doi: 10.7759/cureus.27457.
eCollection 2022 Jul.
Affiliations
Affiliations
- 1 Division of Spine Surgery, Central Clinical Hospital of the Russian Academy of Sciences, Moscow, RUS.
- 2 Neurological Surgery, Peoples’ Friendship University of Russia, Moscow, RUS.
- 3 Neurosurgery, Medical System (MEDSI) Clinical Hospital, Moscow, RUS.
- 4 Neurological Surgery, Charité – Universitätsmedizin, Berlin, DEU.
- 5 Neurosurgery Oncology, Fellow Royal Melbourne Hospital, Melbourne, AUS.
- 6 Neurological Surgery, Peoples Friendship University of Russia, Moscow, RUS.
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Case Reports
Edwin Bernard et al.
Cureus.
.
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. 2022 Jul 29;14(7):e27457.
doi: 10.7759/cureus.27457.
eCollection 2022 Jul.
Affiliations
- 1 Division of Spine Surgery, Central Clinical Hospital of the Russian Academy of Sciences, Moscow, RUS.
- 2 Neurological Surgery, Peoples’ Friendship University of Russia, Moscow, RUS.
- 3 Neurosurgery, Medical System (MEDSI) Clinical Hospital, Moscow, RUS.
- 4 Neurological Surgery, Charité – Universitätsmedizin, Berlin, DEU.
- 5 Neurosurgery Oncology, Fellow Royal Melbourne Hospital, Melbourne, AUS.
- 6 Neurological Surgery, Peoples Friendship University of Russia, Moscow, RUS.
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Abstract
Spondylodiscitis is a rare bacterial infection of the vertebrae and intervertebral discs that causes inflammation and follows a destructive course. When conservative management fails, surgical management requires immediate debridement of the infective focus, with decompression and stabilization through a ventral approach. The most frequently involved locations are the lumbar spine (58%), thoracic (30%), and cervical (11%) regions. Gram-positive organisms such as Staphylococcus aureus and Streptococcus species are the most commonly isolated organisms (67% and 24%, respectively). Pathophysiologically, infectious spondylodiscitis begins in the anterior portion of the vertebral body, due to its rich vascular supply, and then spreads to the rest of the vertebral body and along the medullary spaces. In this study, we report the management of recurrent lumbar postoperative spondylodiscitis with transforaminal lumbar interbody fusion (TLIF) hardware failure in a 62-year-old female.
Keywords:
360o spine surgery; alif; debridement; incidence; infection; recurrent; s: spondylodiscitis; tlif.
Copyright © 2022, Bernard et al.
Conflict of interest statement
The authors have declared that no competing interests exist.
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