Martin Strowitzki, Jan Vastmans, Matthias Vogel, Hans Jaksche


December 2010, Volume 20, Issue 2, pp 248 - 252 Case Report Read Full Article 10.1007/s00586-010-1645-x

First Online: 01 December 2010

Osteomyelitis of the cervical spine may lead to profound bony destruction. The presented case developed multilevel osteomyelitic destruction of the cervical spine after decompression due to cervical myelopathy. He could be cured by a multiple-stage procedure: step one: debridement and removal of all anterior implants with vacuum-assisted closure combined with dorsal instrumentation from C0 to T3; step two: anterior reconstruction with expandable titanium cages and plate. The patient regained walking with the aid of a walking frame. The following recommendations are given: multiple stage procedure, extensive debridement and stabilization via an anterior and posterior approach, use of titanium implants.


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