Author/Authors :
Etemadrezaei، Hamid نويسنده Ghaem Hospital,Department of Neurological Surgery,Mashhad University of Medical Sciences (MUMS),Mashhad,Iran , , Zabihyan، Samira نويسنده Ghaem Hospital,Department of Neurological Surgery,Mashhad University of Medical Sciences (MUMS),Mashhad,Iran , , Shakeri، Aidin نويسنده Ghaem Hospital,Department of Neurological Surgery,Mashhad University of Medical Sciences (MUMS),Mashhad,Iran , , Ganjeifar، Babak نويسنده Ghaem Hospital,Department of Neurological Surgery,Mashhad University of Medical Sciences (MUMS),Mashhad,Iran ,
Abstract :
Introduction: A late-developing infection after an uneventful initial spinal instrumentation procedure is rare. Delayed infection and new fistula formation have been reported from a few months to 13 years. Here we report an unusual 17-year-delayed fistula formation after primary spinal instrumentation. The patient underwent hardware removal surgery with antibiotic therapy as a definitive treatment.
Case Presentation: Here we report an unusual 17-year delayed fistula formation after primary spinal instrumentation due to spinal trauma. He was admitted to Ghaem General Hospital, a chief referral center, Mashhad, North-East of Iran in August 2014. The patient underwent hardware removal surgery with antibiotic therapy as a definitive treatment.
Conclusions: Late inflammation may occur around spinal instruments and results in cutaneous fistula formation. After oral or intravenous antibiotic treatment, total device extraction is the cornerstone of treatment.
