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使用聚醚醚酮经椎间孔腰椎椎体间融合装置行腰骶部关节融合术后感染:病例报告

Infection after Lumbosacral Arthrodesis with a PEEK TLIF Interbody Fusion Device: Case Report.

作者信息

Wajchenberg Marcelo, Astur Nelson, Kanas Michel, Camargo Thiago Zinsly Sampaio, Wey Sérgio Barsanti, Martins Délio Eulalio

机构信息

Hospital Israelita Albert Einstein, São Paulo, SP, Brasil.

Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo, São Paulo, SP, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2021 Jun;56(3):390-393. doi: 10.1055/s-0040-1721845. Epub 2021 Mar 31.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a342/8249073/80bf7806440f/10-1055-s-0040-1721845-i2000172en-1.jpg

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