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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(02): 397-404
DOI: 10.4103/ajns.AJNS_28_20
Case Report

Expandable titanium cages in the emergent treatment of severe spinal deformity secondary to osteomyelitis: A series of three complex cases

Ryan Screven
Department of Neurosurgery, Tampa General Hospital, University of South Florida Morsani College of Medicine, Tampa
,
Mohammad Noureldine
1   Department of Neurosurgery, Institute for Brain Protection Sciences, Johns Hopkins All Children's Hospital, Johns Hopkins University School of Medicine, Saint Petersburg, Florida
,
Paul Krafft
Department of Neurosurgery, Tampa General Hospital, University of South Florida Morsani College of Medicine, Tampa
,
Puya Alikhani
Department of Neurosurgery, Tampa General Hospital, University of South Florida Morsani College of Medicine, Tampa
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The literature lacks robust evidence on the benefits versus risks of instrumenting and fusing the spinal column in the setting of active osteomyelitis. We report three patients with vertebral osteomyelitis and subsequent severe and complex kyphotic deformities. Patients 1 and 2 had previous instrumentation that required revision because of hardware failure in the thoracic and thoracolumbar regions, respectively. Patient 3 developed a severe cervical kyphotic deformity at 2 months after being diagnosed and treated with antibiotics for osteomyelitis, necessitating emergent instrumentation and fusion. All the three patients are doing very well so far. Spinal instrumentation and fusion for correction of kyphotic deformity is sometimes necessary in the context of active osteomyelitis and should be done emergently and without hesitation when spinal cord injury from spinal instability is of concern.

Key-words:

Deformity - expandable cage - fusion - kyphosis - osteomyelitis

Financial support and sponsorship

Nil.




Publikationsverlauf

Eingereicht: 21. Januar 2020

Angenommen: 11. März 2020

Artikel online veröffentlicht:
16. August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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