Infected Vertebroplasty

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Infected Vertebroplasty
Transpedicular vertebroplasty has been established as a safe and effective treatment for thoracic and lumbar compression fractures. Complications are rare and infectious complications requiring surgical management have only been reported once in the literature. In this paper the authors present two patients in whom osteomyelitis developed after vertebroplasty in which corpectomy was required. The serious nature of these infections, their surgical management, and complication avoidance are discussed.

Transpedicular vertebroplasty for the treatment of compression fractures of the thoracic and lumbar spine has been well described, and the reported complication rates are low. In this paper we present two cases of patients treated with vertebroplasty despite a history of prior infection. Osteomyelitis and abscess developed in these patients and they underwent corpectomy with anterior reconstruction and posterior stabilization. Great care should be taken when using vertebroplasty to treat patients who have a history of infection, because they may suffer osteomyelitis.

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