An Atypical Presentation of Early Periprosthetic Infection After Cervical Disc Arthroplasty

• DOI: 10.2106/jbjs.cc.22.00679
• Publication Date: 2023-07-07T19:53:42Z
• Authors: Evan D. Nigh; Ryan A. Finkel; Arash J. Sayari; Todd H. Lanman; Eli M. Baron; Jason M Cuellar
• Keywords: Neck pain; Presentation (obstetrics)

Case: A 22-year-old woman with Klippel-Feil syndrome who underwent cervical disc arthroplasty (CDA) presented 3 months postoperatively worsening neck pain and radiculopathy. Work-up was negative for infection, but single-photon emission computed tomography revealed increased metabolic activity in the vertebral body below implant. During revision, implant grossly loose multiple cultures grew Cutibacterium acnes . She treated an antibiotic course conversion to anterior fusion without recurrence. Conclusion: This report highlights rare presentation of early periprosthetic infection after CDA caused by C.