An Atypical Presentation of Early Periprosthetic Infection After Cervical Disc Arthroplasty-Reference-Cited by-同舟云学术

An Atypical Presentation of Early Periprosthetic Infection After Cervical Disc Arthroplasty

Published:2023 Issue:3 Volume:13 Page:
ISSN:2160-3251
Container-title:JBJS Case Connector
language:en
Short-container-title:

Author:

Nigh Evan D.¹^ORCID,Finkel Ryan A.¹,Sayari Arash J.¹^ORCID,Lanman Todd H.²^ORCID,Baron Eli M.²^ORCID,Cuellar Jason M²

Affiliation:

1. Department of Orthopaedic Surgery, Cedars-Sinai Medical Center, Los Angeles, California

2. Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California

Abstract

Case: A 22-year-old woman with Klippel-Feil syndrome who underwent cervical disc arthroplasty (CDA) presented 3 months postoperatively with 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 the implant. During revision, the implant was grossly loose and multiple cultures grew Cutibacterium acnes. She was treated with an antibiotic course and conversion to anterior fusion without recurrence. Conclusion: This report highlights the rare presentation of an early periprosthetic infection after CDA caused by C. acnes.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Orthopedics and Sports Medicine,Surgery

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