The use of porous tantalum cages in the treatment of unremitting spondylodiscitis: a case report
Background: Unsuccessful medical treatment of pyogenic multifocal spondylodiscitis including signs of sepsis and unremitting pain is challenging. The aim of our report was to present a case of multilevel spondylodiscitis successfully treated by posterior lumbar interbody fusion using porous tantalum...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Slovenian Medical Association
2018-03-01
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| Series: | Zdravniški Vestnik |
| Subjects: | |
| Online Access: | http://vestnik.szd.si/index.php/ZdravVest/article/view/2596 |
| _version_ | 1818136695742136320 |
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| author | Samo Karel Fokter Gregor Rečnik |
| author_facet | Samo Karel Fokter Gregor Rečnik |
| author_sort | Samo Karel Fokter |
| collection | DOAJ |
| description | Background: Unsuccessful medical treatment of pyogenic multifocal spondylodiscitis including signs of sepsis and unremitting pain is challenging. The aim of our report was to present a case of multilevel spondylodiscitis successfully treated by posterior lumbar interbody fusion using porous tantalum cages.
Case presentation: A 59-year-old male was diagnosed with spondylodiscitis at T8-T9 level. Although treated with antibiotics, the patient again presented with worsening of systemic signs of infection and back pain. Contrast-enhanced magnetic resonance imaging studies revealed spondylodiscitis at L1 to S1 level. Posterior lumbar interbody bone fusion with tantalum cages from L1 to S1 was performed. The inflammation rapidly subsided. Computer tomography studies showed a stable construct at 24 months.
Conclusion: Porous tantalum cages used in combination with transpedicular fixation seem to be a sound alternative to interbody devices made from other materials when treating spondylodiscitis cases without definite osseous destruction. |
| first_indexed | 2024-12-11T09:44:30Z |
| format | Article |
| id | doaj.art-925a030747e0407fb037a5d5620e4177 |
| institution | Directory Open Access Journal |
| issn | 1318-0347 1581-0224 |
| language | English |
| last_indexed | 2024-12-11T09:44:30Z |
| publishDate | 2018-03-01 |
| publisher | Slovenian Medical Association |
| record_format | Article |
| series | Zdravniški Vestnik |
| spelling | doaj.art-925a030747e0407fb037a5d5620e41772022-12-22T01:12:35ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242018-03-01871-210.6016/ZdravVestn.25962163The use of porous tantalum cages in the treatment of unremitting spondylodiscitis: a case reportSamo Karel Fokter0Gregor Rečnik1Division of Surgery, Department of Orthopaedics, University medical Centre maribor, maribor, SloveniaDivision of Surgery, Department of Orthopaedics, University medical Centre maribor, maribor, SloveniaBackground: Unsuccessful medical treatment of pyogenic multifocal spondylodiscitis including signs of sepsis and unremitting pain is challenging. The aim of our report was to present a case of multilevel spondylodiscitis successfully treated by posterior lumbar interbody fusion using porous tantalum cages. Case presentation: A 59-year-old male was diagnosed with spondylodiscitis at T8-T9 level. Although treated with antibiotics, the patient again presented with worsening of systemic signs of infection and back pain. Contrast-enhanced magnetic resonance imaging studies revealed spondylodiscitis at L1 to S1 level. Posterior lumbar interbody bone fusion with tantalum cages from L1 to S1 was performed. The inflammation rapidly subsided. Computer tomography studies showed a stable construct at 24 months. Conclusion: Porous tantalum cages used in combination with transpedicular fixation seem to be a sound alternative to interbody devices made from other materials when treating spondylodiscitis cases without definite osseous destruction.http://vestnik.szd.si/index.php/ZdravVest/article/view/2596spinal surgeryspinal infectionspinal bone fusionporous tantalum cagepyogenic spondylodiscitis |
| spellingShingle | Samo Karel Fokter Gregor Rečnik The use of porous tantalum cages in the treatment of unremitting spondylodiscitis: a case report Zdravniški Vestnik spinal surgery spinal infection spinal bone fusion porous tantalum cage pyogenic spondylodiscitis |
| title | The use of porous tantalum cages in the treatment of unremitting spondylodiscitis: a case report |
| title_full | The use of porous tantalum cages in the treatment of unremitting spondylodiscitis: a case report |
| title_fullStr | The use of porous tantalum cages in the treatment of unremitting spondylodiscitis: a case report |
| title_full_unstemmed | The use of porous tantalum cages in the treatment of unremitting spondylodiscitis: a case report |
| title_short | The use of porous tantalum cages in the treatment of unremitting spondylodiscitis: a case report |
| title_sort | use of porous tantalum cages in the treatment of unremitting spondylodiscitis a case report |
| topic | spinal surgery spinal infection spinal bone fusion porous tantalum cage pyogenic spondylodiscitis |
| url | http://vestnik.szd.si/index.php/ZdravVest/article/view/2596 |
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