Case Report
Volume 14 Issue 1 - 2022
Adjacent Level Spondylodiscitis after Corpectomy and Anterior Cervical Fusion: A Case Report
Abraham Ibarra de la Torre, Daniel Alejandro Vega Moreno, Rafael Sánchez Mata, Iván Eduardo Gonzalez Gonzalez, Ulises García González and José Omar Santellán Hernández*
Department of Neurosurgery, Hospital Central Sur de Alta Especialidad de Alta Especialidad de PEMEX, Periferico sur 4091, Fuentes del Pedregal, Tlalpan, México City, Mexico
*Corresponding Author: José Omar Santellán Hernández, Department of Neurosurgery, Hospital Central Sur de Alta Especialidad de Alta Especialidad de PEMEX, Periferico sur 4091, Fuentes del Pedregal, Tlalpan, México City, Mexico.
Received: November 10, 2021; Published: December 30, 2021


Spondylodiscitis after Anterior Cervical Decompression and Fusion (ACDF) is a rare etiology, accounting for only 1 to 7% of all skeletal infections, with an incidence of 1: 250,000 to 1: 400,000 people.11 Staphylococcus aureus is the main causative organism, accounting for 53-78% of all spondylodiscitis.11 Spondylodiscitis after ACDF diagnosis tends to be delayed due to it’s rarity and lack of knowledge, which can lead to a poor clinical outcome.

Case Report: 55-year-old male with listhesis and cord compression that required c5-c7 spinal fusion surgery. Seven years later, he presented progressive cervicalgia with radicular pain and hypotrophy in both hands. Because multisegmental discopathy with 80% and 50% spinal cord, respectively, he needed reopening, removal of previous implants, C6 corpectomy, neural decompression and C5 to C7 spinal fusion. 14 days later, he reported a sensation of increased volume, pain and leakage of yellow fluid through the surgical scar. A contrast cervical MRI study was performed with findings of spondylodiscitis and spinal cord compression, especially at the C4-C5 level. Immediate antibiotic treatment with meropenem was started and after 5 days without clinical improvement and renal failure data, posterior cervical spinal surgery was proposed for cervical spinal neural decompression through a 3-level laminectomy.

Discussion: When the patient presents compression of the spinal cord and / or nerve roots with neurological findings of radiculopathy and / or myelopathy, surgical exploration and decompression of the spinal cord and / or nerve roots should be performed as soon as possible.

Conclusion: Spondylodiscitis after ACDF requires high diagnostic suspicion for early surgical medical intervention and favorable neurological results. 

Keywords: Spondylodisctitis; Cervical Corpectomy; Spine Infection; Cervical Fusion


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Citation: José Omar Santellán Hernández., et al. “Adjacent Level Spondylodiscitis after Corpectomy and Anterior Cervical Fusion: A Case Report”. EC Neurology 14.1 (2022): 13-18.

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