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A Rare Case of Proximal Junctional Failure with Delayed Infection after Adult Spinal Deformity Surgery: A Report of Two Cases
Joint Authors
Suzuki, Satoshi
Matsumoto, Morio
Nakamura, Masaya
Fujita, Nobuyuki
Watanabe, Kota
Nagoshi, Narihito
Iwami, Takuro
Yagi, Mitsuru
Okada, Eijiro
Nori, Satoshi
Tsuji, Osahiko
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-07-11
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Proximal junctional failure (PJF) is one of the most devastating complications that develop after adult spinal deformity (ASD) surgery.
Here, we report 2 rare cases of PJF accompanied by delayed infection after ASD surgery with a review of the relevant literatures.
Late-onset infection is an infrequent complication despite acute postoperative infection is common after posterior spinal instrumentation and fusion.
Among them, delayed onset pyogenic spondylitis of the adjacent vertebra to the instrumented vertebrae is an extremely rare phenomenon.
We do not have a clear explanation for this pathology.
Since the delayed infections developed not in the fused segments but in the adjacent vertebra, the cause of the first case can be speculated as stimulation of low-virulent organisms to fester and hematogenous seeding and that of the second case as metal fretting and a sterile inflammatory response causing hematogenous microbial seeding, respectively.
Additional studies on this phenomenon are warranted to elucidate the pathogenesis of this complication.
American Psychological Association (APA)
Iwami, Takuro& Yagi, Mitsuru& Okada, Eijiro& Suzuki, Satoshi& Nori, Satoshi& Tsuji, Osahiko…[et al.]. 2020. A Rare Case of Proximal Junctional Failure with Delayed Infection after Adult Spinal Deformity Surgery: A Report of Two Cases. Case Reports in Orthopedics،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1150142
Modern Language Association (MLA)
Iwami, Takuro…[et al.]. A Rare Case of Proximal Junctional Failure with Delayed Infection after Adult Spinal Deformity Surgery: A Report of Two Cases. Case Reports in Orthopedics No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1150142
American Medical Association (AMA)
Iwami, Takuro& Yagi, Mitsuru& Okada, Eijiro& Suzuki, Satoshi& Nori, Satoshi& Tsuji, Osahiko…[et al.]. A Rare Case of Proximal Junctional Failure with Delayed Infection after Adult Spinal Deformity Surgery: A Report of Two Cases. Case Reports in Orthopedics. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1150142
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150142