Wajchenberg Marcelo, Astur Nelson, Kanas Michel, Camargo Thiago Zinsly Sampaio, Wey Sérgio Barsanti, Martins Délio Eulalio
Hospital Israelita Albert Einstein, São Paulo, SP, Brasil.
Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
Rev Bras Ortop (Sao Paulo). 2021 Jun;56(3):390-393. doi: 10.1055/s-0040-1721845. Epub 2021 Mar 31.
Spondylodiscitis is an uncommon but serious complication after spine surgeries, and its main etiologic agent is . Fungal infections are rare and mostly caused by . We report the clinical case of a 69-year-old male patient who underwent a L2-S1 arthrodesis for degenerative scoliosis correction. He presented an infection 2.5 months after the procedure, a spondylodiscitis at L5-S1 levels, caused by . The treatment consisted of surgical material removal, tricortical iliac graft placement in an anterior approach (L5-S1), lumbopelvic fixation (from T10 to the pelvis) in a posterior approach, and drug treatment with anidulafungin and fluconazole. This last medication was administered for 12 months, with good clinical outcomes.
脊椎椎间盘炎是脊柱手术后一种罕见但严重的并发症,其主要病原体是 。真菌感染较为罕见,主要由 引起。我们报告一例69岁男性患者的临床病例,该患者因退行性脊柱侧弯矫正接受了L2 - S1节段的关节融合术。术后2.5个月,他出现感染,L5 - S1节段发生脊椎椎间盘炎,病原体为 。治疗包括取出手术材料,经前路(L5 - S1)植入三面皮质髂骨移植骨,经后路进行腰骨盆固定(从T10至骨盆),以及使用阿尼芬净和氟康唑进行药物治疗。最后一种药物持续使用了12个月,临床效果良好。