Related Experiment Video
Updated: Jun 25, 2026
Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
[Infectious spondylodiscitis after a laparoscopic sacrocolpopexy: about one case]
G Descargues1, A Bouzouita, P Grise
1Centre de pelvipérinéologie, clinique Saint-Hilaire, 2, place Saint-Hilaire, 76000 Rouen, France. drdescargues@hotmail.com
Abstract:
One case of spondylodiscitis, over a period of 18 months after a laparoscopic sacrocolpopexy with suture, was reported. After a needle aspiration of the disco-vertebral space retrieving Pseudomonas, adapted antibiotic treatment and immobilization permit favorable evolution. The clinical, biological and imaging with MRI favorable evolution, prompted not to disassemble the prosthetic material, however this option should be discussed at the outset when large abscess or vaginal fistula or unfavorable evolution with medical treatment. Fixation promontory must interest the prevertebral ligament and not the disc; using suture should be preferred to staples.
Insights
A rare case of spondylodiscitis occurred 18 months after laparoscopic sacrocolpopexy. Prompt antibiotic treatment and immobilization led to a favorable outcome, avoiding prosthetic removal.
Area of Science:
- Urogynecology
- Infectious Disease
- Surgical Innovation
Background:
- Laparoscopic sacrocolpopexy is a surgical procedure for pelvic organ prolapse.
- Postoperative infectious complications, such as spondylodiscitis, are rare but serious.
- Spondylodiscitis following pelvic reconstructive surgery requires careful management.
Observation:
- A patient developed spondylodiscitis 18 months after laparoscopic sacrocolpopexy.
- Infection was identified as Pseudomonas via needle aspiration of the disco-vertebral space.
- Clinical, biological, and MRI findings indicated a favorable evolution with treatment.
Findings:
- Adapted antibiotic treatment and immobilization were effective in managing the infection.
- The prosthetic material was not removed due to favorable clinical evolution.
- Sutures were used for fixation, avoiding staples.
Implications:
- This case highlights the possibility of late-onset spondylodiscitis after laparoscopic sacrocolpopexy.
- Conservative management with antibiotics and immobilization can be successful.
- Surgical technique, specifically fixation to the prevertebral ligament and use of sutures over staples, may influence complication rates.
