颈椎间盘置换术后早期假体周围感染的非典型表现：1 例报告。
An Atypical Presentation of Early Periprosthetic Infection After Cervical Disc Arthroplasty: A Case Report.
机构信息
Department of Orthopaedic Surgery, Cedars-Sinai Medical Center, Los Angeles, California.
Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California.
出版信息
JBJS Case Connect. 2023 Jul 7;13(3). doi: e22.00679. eCollection 2023 Jul 1.
CASE
A 22-year-old woman with Klippel-Feil syndrome who underwent cervical disc arthroplasty (CDA) presented 3 months postoperatively with worsening neck pain and radiculopathy. Work-up was negative for infection, but single-photon emission computed tomography revealed increased metabolic activity in the vertebral body below the implant. During revision, the implant was grossly loose and multiple cultures grew Cutibacterium acnes. She was treated with an antibiotic course and conversion to anterior fusion without recurrence.
CONCLUSION
This report highlights the rare presentation of an early periprosthetic infection after CDA caused by C. acnes.
病例
一名 22 岁女性患有 Klippel-Feil 综合征，接受颈椎间盘置换术（CDA）后 3 个月出现颈部疼痛和神经根病变加重。检查排除了感染，但单光子发射计算机断层扫描显示植入物下方椎体的代谢活性增加。在翻修过程中，植入物明显松动，多次培养出痤疮丙酸杆菌。她接受了抗生素治疗和前路融合术，没有复发。
结论
本报告强调了 CDA 后痤疮丙酸杆菌引起的早期假体周围感染的罕见表现。
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