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Spondylitis following vertebroplasty: a case report

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Abstract

Purpose: Spondylitis is a rare complication of vertebroplasty with only one case report having been published to date. We report a further case of spondylitis after vertebroplasty that was managed successfully with conservative therapy. Methods: The clinical course of a 55-year-old patient with secondary osteoporosis due to liver cirrhosis from alcohol abuse is reported, in whom percutaneous vertebroplasty of three fractured vertebral bodies (L3–L5) was complicated by spondylitis at these levels. Results: Spondylitis of L3–L5 with paravertebral abscess formation and progressive collapse of L5 was detected by magnetic resonance imaging (MRI). Treatment consisted of percutaneous aspiration of the paravertebral abscess and antibiotic therapy. No bacteria was identified despite cultures have been taken before antibiotic treatment. The patient was treated with intravenous ciprofloxacin and consecutive clindamycin for a total of 3 months. One year after the infection the MRI signs of spondylitis have resolved without further collapse of L5. Painlevels have improved significantly, allowing the patient to return to work, but are still higher than immediately after vertebroplasty. Conclusion: Spondylitis is a rare complication of vertebroplasty. In the presented case a satisfactory result could be achieved through conservative antibiotic therapy and restriction of movement.

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Authors and Affiliations

  1. Department of Neurosurgery, Berufsgenossenschaftliche Unfallklinik Murnau, Prof. Küntscherstrasse 8, 82418, Murnau, Germany

    Katharina E. Schmid, Michael Bierschneider, Björn Robert & Hans Jaksche

  2. Spine Service, Department of Orthopaedic Surgery, Inselspital, Universitätsspital Bern, Switzerland

    Bronek M. Boszczyk

  3. Department of Radiology, Berufsgenossenschaftliche Unfallklinik Murnau, Murnau, Germany

    Andreas Zarfl

Authors
  1. Katharina E. Schmid
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  2. Bronek M. Boszczyk
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  3. Michael Bierschneider
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  4. Andreas Zarfl
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  5. Björn Robert
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Correspondence to Katharina E. Schmid.

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Schmid, K.E., Boszczyk, B.M., Bierschneider, M. et al. Spondylitis following vertebroplasty: a case report. Eur Spine J 14, 895–899 (2005). https://doi.org/10.1007/s00586-005-0905-7

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  • DOI: https://doi.org/10.1007/s00586-005-0905-7

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