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Article ; Online: Delayed Pyogenic Spondylitis at the Same Level as Rod Fracture After Surgery for Adult Spinal Deformity: A Case Report.

Sakuma, Yota / Shirado, Osamu / Tominaga, Ryoji / Iwabuchi, Masumi

JBJS case connector

2023  Volume 13, Issue 2

Abstract: Case: Rod fracture (RF) occurred at L5-S level in a 79-year-old woman 7 months after spinal corrective surgery for adult spinal deformity (ASD). Four years after the surgery, pyogenic spondylitis occurred at the same level as RF. After the reinforcement ...

Abstract Case: Rod fracture (RF) occurred at L5-S level in a 79-year-old woman 7 months after spinal corrective surgery for adult spinal deformity (ASD). Four years after the surgery, pyogenic spondylitis occurred at the same level as RF. After the reinforcement of broken rods posteriorly, a transperitoneal approach was used for debridement and bone graft. However, prolonged infection, adhesive ileus, and small bowel perforation led to a total of 3 reoperations, resulting a colostomy. Three years after the reoperation, she was ambulatory with assistance.
Conclusion: We need to follow-up postoperative ASD patients carefully because a single complication can lead to serious consequences.
MeSH term(s) Female ; Humans ; Adult ; Aged ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Spondylitis/complications ; Fractures, Bone/complications ; Reoperation/adverse effects
Language English
Publishing date 2023-05-12
Publishing country United States
Document type Case Reports ; Journal Article
ISSN 2160-3251
ISSN (online) 2160-3251
DOI e22.00561
Database MEDical Literature Analysis and Retrieval System OnLINE

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