Tinelli Andrea, Yassa Murat, Marzo Giuseppe, Romualdi Daniela, Frigerio Matteo, Melcarne Alessio, Scambia Giovanni, Pecorella Giovanni, Morciano Andrea
Department of Gynaecology and Obstetrics, "Veris Delli Ponti" Hospital, and CERICSAL (CEntro di RIcerca Clinico SALentino), "Veris delli Ponti Hospital" Scorrano, Lecce, Italy.
Department of Obstetrics and Gynecology, Sağlık Bilimleri Üniversitesi, Şişli Etfal Hastanesi İstanbul, Turkey.
Int J Clin Exp Pathol. 2024 Mar 15;17(3):90-95. doi: 10.62347/RERC7901. eCollection 2024.
Spondylodiscitis following sacral colpopexy for Pelvic Organ Prolapse (POP) represents a rare complication with severe consequences. Authors performed a literature search, from 2000 to 2022, to set a narrative review of literature. Spondylodiscitis is an uncommon but dangerous side effect of a routine surgical treatment that needs to be identified and treated right away to prevent worsening clinical consequences. Suboptimal dissection of the sacral promontory and/or site infection are associated with spondylodiscitis. When spondylodiscitis is suspected, advanced imaging methods should be used, and surgical excision shouldn't be put off after a failed course of treatment. Authors presented a case-video of a 68-year-old woman who reported severe lower back pain 7 weeks after surgery, in which sacral spondylodiscitis was diagnosed and laparoscopically treated. In this case, a laparoscopic tack and mesh removal from promontory was carried out following the patient's continued lower back pain and the antibiotic therapy's incomplete radiological remission of spondylodiscitis. The patient's radiological findings and symptoms completely resolved two weeks following the procedure.
盆腔器官脱垂（POP）行骶骨阴道固定术后发生的脊椎椎间盘炎是一种罕见但后果严重的并发症。作者进行了一项从2000年至2022年的文献检索，以对文献进行叙述性综述。脊椎椎间盘炎是常规手术治疗中一种不常见但危险的副作用，需要立即识别并治疗，以防止临床后果恶化。骶骨岬的解剖不充分和/或手术部位感染与脊椎椎间盘炎有关。当怀疑患有脊椎椎间盘炎时，应采用先进的成像方法，且在治疗疗程失败后不应推迟手术切除。作者展示了一段病例视频，一名68岁女性在术后7周报告严重下背部疼痛，经诊断为骶骨脊椎椎间盘炎并接受了腹腔镜治疗。在该病例中，由于患者持续下背部疼痛且抗生素治疗后脊椎椎间盘炎的放射学缓解不完全，遂对其进行了腹腔镜下从骶骨岬移除固定钉和补片的手术。术后两周，患者的放射学检查结果和症状完全消失。
