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Tytuł pozycji:

Thoracic Kyphotic Deformity Secondary to Old Pseudomonas aeruginosa Spondylodiscitis in an Immunocompromised Patient With Persistent Infection Foci-A Case Report.

Tytuł :
Thoracic Kyphotic Deformity Secondary to Old Pseudomonas aeruginosa Spondylodiscitis in an Immunocompromised Patient With Persistent Infection Foci-A Case Report.
Autorzy :
Bourghli A; Orthopedic and Spinal Surgery Department, Kingdom Hospital, Riyadh, Saudi Arabia.
Boissiere L; Orthopedic Spinal Surgery Unit 1, Bordeaux Pellegrin Hospital, Bordeaux, France.
Obeid I; Orthopedic Spinal Surgery Unit 1, Bordeaux Pellegrin Hospital, Bordeaux, France.
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Źródło :
International journal of spine surgery [Int J Spine Surg] 2019 Oct 31; Vol. 13 (5), pp. 392-398. Date of Electronic Publication: 2019 Oct 31 (Print Publication: 2019).
Typ publikacji :
Journal Article
Język :
English
Imprint Name(s) :
Publication: 2014- : Aurora, IL : International Society for the Advancement of Spine Surgery
Original Publication: [Amsterdam] : Elsevier Inc., c2012-
References :
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Contributed Indexing :
Keywords: Pseudomonas aeruginosa; immunocompromised patient; kyphosis; pedicle subtraction osteotomy; pyogenic spondylodiscitis
Entry Date(s) :
Date Created: 20191120 Latest Revision: 20201001
Update Code :
20210210
PubMed Central ID :
PMC6833961
DOI :
10.14444/6054
PMID :
31741828
Czasopismo naukowe
Background: Kyphosis secondary to pyogenic spondylodiscitis is rare and its management can be very challenging.
Methods: In this report, we present the case of a 28-year-old woman, with past history of type 1 diabetes and kidney failure on hemodialysis. Her current complaint is chronic middle and low back pain with kyphotic attitude. She had undergone posterior fixation for T12 fracture 3 years earlier, which was complicated by surgical site infection to Pseudomonas aeruginosa , with secondary kyphosis proximally. X-ray showed a 64° kyphosis with complete fusion between T8 and T10, and MRI showed persistent infection foci.
Results: The patient underwent a pedicle subtraction osteotomy at the level of T9 with instrumentation from T5 to L1. Thoracic kyphosis was corrected to 39°. Samples taken from the remaining collections returned positive for multidrug-resistant Pseudomonas aeruginosa , and the patient was kept on intravenous antibiotic (Colistine) for 2 months. She could walk on day 1, with a satisfactory clinical and radiological result at 3 years.
Conclusions: Literature is sparse on the management of post-pyogenic infection kyphosis in immunocompromised patients. The current case shows that aggressive correction techniques such as pedicle subtraction osteotomy can be performed in such cases but within a multidisciplinary team to deal simultaneously with the different issues of the fragile patient.
(©International Society for the Advancement of Spine Surgery 2019.)

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