Infectious complications of percutaneous vertebroplasty

Abstract

This clinical case describes the infectious complications after performing the multilevel puncture vertebroplasty (PVP) at the level of lumbar spine. The severe neurological disturbances (C type according to ASIA/ISIOP) were appeared in two weeks after PVP at female patient 65 years old suffered from postmenopausal osteoporosis and compressive L5 fracture because of purulent epiduritis and nonspecific spondylitis at the level of LIV and LV vertebrae. The nosocominal infection - Pseudomonos auriginosae - was discovered in postoperative material plating. The patient underwent staged surgical treatment which leaded to decline of inflammation process in lumbar spine and restoration of its support function with complete regress of neurological disturbances. The increase of number of postoperative complications is expected because of operative activity growth concerning spinal trauma and various spinal diseases. The only adherence of recommendations concerning accurate performance of surgical interventions as well as multicenter examination of surgical treatment outcomes under supervision of independent professional associations will allow investigating all causes for surgical complications development for their prevention.