A rare case of aggressive pyogenic spondylitis with giant abscesses after vertebral augmentation

• DOI: 10.52312/jdrs.2023.1182
• Publication Date: 2024-01-04T11:03:09Z
• Authors: Lin Liu; Lei He; Ga Long; Min He
• Keywords: Spondylitis; Vertebral Osteomyelitis; Epidural abscess; Etiology; Linezolid; Back Pain

Although Streptococcus constellatus (SC), an opportunistic pathogen, can cause abscesses and empyema. The SC infection after vertebral augmentation (VA) interfere with patients' daily living activities be life-threatening in severe cases. A 67-year-old male complained of lumbar pain for two months. patient underwent percutaneous vertebroplasty the second third vertebrae months ago. On admission, laboratory imaging evidence suggested bilateral psoas major left lumbodorsal abscesses. After three weeks empirical anti-infective therapy, abscess removal fusion iliac bone graft were performed under general anesthesia. Intraoperative pathology next-generation sequencing (NGS) examination pus infection, oral linezolid was given 12 surgery. eventually cured achieved satisfactory function. In conclusion, pyogenic spondylitis due to VA is a complication. addition infectious disease consultation routine etiological screening, NGS important identify unknown pathogens. Surgery combined sensitive antibiotics appropriate patients progressive neurological deficits.