Vertebral Osteomyelitis Following Vertebroplasty: Is Acne a Potential Contraindication and Are Prophylactic Antibiotics Mandatory Prior to Vertebroplasty?
2009; American Society of Interventional Pain Physicians; Volume: 4;12; Issue: 4;7 Linguagem: Inglês
10.36076/ppj.2009/12/e285
ISSN2150-1149
Autores Tópico(s)Spinal Fractures and Fixation Techniques
ResumoWe present a case of vertebral osteomyelitis following vertebroplasty in a patient with acne of the back. Vertebral biopsy revealed Corynebacterium species and blood cultures were positive for Propionibacterium species. The patient did not respond to long-term intravenous antibiotics and required vertebral corpectomy and debridement with instrumentation. Interventionalists should be able to recognize acne of the back and consider this as a potential contraindication to vertebroplasty. Prophylactic antibiotics should be considered in all patients prior to vertebroplasty since subepidermal organisms are not eliminated with the standard skin prep. Key words: Vertebroplasty, complication, vertebral osteomylitis, acne
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