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Revista Cubana de Ortopedia y Traumatología
versión On-line ISSN 1561-3100
Resumen
ACOSTA GONZALEZ, Luis César y HORTA TAMAYO, Ernesto Enrique. Late cervical spondylodiscitis secondary to nuchal anthrax. Rev Cubana Ortop Traumatol [online]. 2023, vol.37, n.1 Epub 01-Mar-2023. ISSN 1561-3100.
Instroduction:
Spondylodiscitis is an infectious process of the vertebral body and the intervertebral disc. It has multifactorial etiology which requires a multidisciplinary approach. The smallest number corresponds to the cervical spine. Surgical treatment is suggested in patients with neurological defect, deformity and failure of conservative therapy.
Objective:
To describe the clinical and radiological characteristics and the surgical treatment of a patient with cervical spondylodiscitis.
Case report:
We report the case of a 48-year-old male patient with a history of type II diabetes mellitus. He presented nuchal anthrax and he was treated with antimicrobials. A year later, he returned to the consultation with numbness in his right arm and later it spread to the other extremities. Cervical spondylodiscitis is diagnosed at C6-C7 level. It was decided to apply surgical treatment by C6 and C7 corporectomy with iliac crest tricortical graft and place a titanium plate from C5 to D1. Staphylococcus aureus was isolated from the intervertebral disc and specific antibiotic treatment was continued for 6 weeks.
Conclusions:
Cervical spondylodiscitis is the spinal infection with the lowest incidence. Its late appearance in an immunocompetent patient after a skin infection is highly unusual. Surgical management by means of decompression and fixation with blade and titanium screws, together with antibiotic treatment, resulted in an excellent postoperative evolution.
Palabras clave : spinal infection; discitis; osteomyelitis; cervical fixation..