Adjacent Segment Infection after Lumbar Fusion: A Case Report and the Literature Review
المؤلفون المشاركون
Wang, Wenlong
Liu, Zheng
Wu, Sijun
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-01-20
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Introduction.
Adjacent segment infective spondylodiscitis is a rare type of surgical spinal infection after lumbar fusion with few reports.
We report a further case of adjacent segment infection after three-level lumbar fusion managed successfully with anti-infective therapy and revision surgery.
Case Description.
A clinical case of a 69-year-old female with multilevel lumbar degenerative disease received three-level fusion.
The leading preoperative symptoms were relieved after decompression surgery.
However, severe back pain recurred and prompted her to be rehospitalized 2 months later.
The signal of spondylitis and discitis at the adjacent segment was detected by magnetic resonance imaging (MRI).
No bacteria were identified despite blood cultures being taken before antibiotic treatment.
After a long-term anti-infective therapy with vancomycin, the patient gained symptom relief and was discharged home.
However, the patient complained of severe back pain again after long-term oral antibiotic treatment and was rehospitalized 6 months after surgery.
The computed tomography (CT) scan showed obvious bony endplate destruction at the adjacent segment space.
The patient received a debridement operation and autologous iliac bone graft.
The infective inflammatory markers were controlled, and the infective space achieved fusion finally.
Conclusion.
Adjacent segment space infection is a rare reported complication that occurs after spinal fusion surgery.
Conservative antibiotic therapy may not control the infection completely, and disc space debridement and autologous iliac bone graft can achieve ultimate fusion and a satisfactory outcome.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Wang, Wenlong& Liu, Zheng& Wu, Sijun. 2020. Adjacent Segment Infection after Lumbar Fusion: A Case Report and the Literature Review. Case Reports in Orthopedics،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1149813
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Wang, Wenlong…[et al.]. Adjacent Segment Infection after Lumbar Fusion: A Case Report and the Literature Review. Case Reports in Orthopedics No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1149813
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Wang, Wenlong& Liu, Zheng& Wu, Sijun. Adjacent Segment Infection after Lumbar Fusion: A Case Report and the Literature Review. Case Reports in Orthopedics. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1149813
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1149813
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر