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Title

Progression of Infection after Surgical CT Navigation-Assisted Aspiration Biopsy of a Vertebral Abscess

Authors
Valaikaite, Raimunda
Published in Case Reports in Orthopedics. 2016, vol. 2016, p. 8675761
Abstract Background Context. Computed tomography- (CT-) guided fine-needle aspiration biopsy of the vertebral body is an important tool in the diagnostic evaluation of vertebral osteomyelitis. The procedure is considered simple to perform and it is considered a safe procedure with few complications. Purpose. The purpose of this study was to describe an unusual complication due to a CT-guided fine-needle aspiration biopsy of the vertebral body of L3, to better understand the relationship between surgical procedure and complication, and to reflect on how to avoid it. Study Design/Setting. Case report and literature review. Methods. The medical records, laboratory findings, and radiographic imaging studies of an 11-year-old boy, with an unusual complication due to a CT-guided fine-needle aspiration biopsy of the vertebral body of L3, were reviewed. Results. We report a case of vertebral osteomyelitis of L3 caused by methicillin-sensitive Staphylococcus aureus (MSSA). Following a computed tomography-guided aspiration biopsy of the vertebral body of L3, vertebral osteomyelitis rapidly progressed into the vertebral body of L4 as well as the L3-L4 disk. Conclusions. Based on the present case, one should consider that a CT-guided fine-needle aspiration biopsy of the vertebral body may be complicated by a progression of a vertebral osteomyelitis into both the intervertebral disk and also the adjacent vertebral body.
Identifiers
PMID: 26949558
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Article (Published version) (2.7 MB) - public document Free access
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Research group Groupe Lascombes Pierre (orthopédie pédiatrique) (917)
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SPYROPOULOU, Vasiliki et al. Progression of Infection after Surgical CT Navigation-Assisted Aspiration Biopsy of a Vertebral Abscess. In: Case Reports in Orthopedics, 2016, vol. 2016, p. 8675761. https://archive-ouverte.unige.ch/unige:96786

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Deposited on : 2017-09-15

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