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Infection following percutaneous vertebral augmentation with polymethylmethacrylate
Jae-Woo Park1, Sang-Min Park2, Hui Jong Lee3
1Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Archives of Osteoporosis
|April 29, 2018
Summary
Postoperative infection after vertebroplasty or kyphoplasty is rare but can be life-threatening. Prompt diagnosis with culture and biopsy, followed by long-term antibiotics and surgical intervention when needed, is crucial for patient recovery.
Area of Science:
- Spinal surgery
- Infectious disease
Background:
- Vertebral augmentation procedures like vertebroplasty and kyphoplasty carry a rare risk of postoperative infection.
- Infection can lead to severe complications, particularly in elderly patients with comorbidities.
Purpose of the Study:
- To analyze 11 cases of pyogenic spondylitis and spondylodiscitis following vertebral augmentation.
- To review the literature for similar cases of infection after vertebroplasty or kyphoplasty.
Main Methods:
- Retrospective review of postoperative spinal infections after percutaneous vertebroplasty or kyphoplasty between January 2005 and November 2016.
- Inclusion of 11 patients with a mean age of 76.3 years.
Main Results:
- The incidence of infection was 0.36% (3 of 826 cases).
- All patients received combined surgical and antibiotic treatment.
- Ten out of eleven patients recovered after a mean follow-up of 21.1 months.
Conclusions:
- Postoperative infection following vertebral augmentation is rare but potentially life-threatening, especially in frail patients.
- Immediate culture and biopsy, long-term antibiotics, and prompt surgical intervention are critical for managing these infections.
- Surgical treatment is indicated for significant neurologic deficit, instability, or antibiotic resistance.
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