Surgical treatment for spondylitis caused by non-tuberculous mycobacteria with extensive abscess. A report of two cases

• Published in: Journal of Spine Research Vol. 11; no. 4; pp. 764 - 768
• Main Authors: Fushimi, Kazunari, Nozawa, Satoshi, Masuda, Kazuaki, Akiyama, Haruhiko, Sawada, Shutaroh, Tsugita, Masanori, Iwai, Chizuo
• Format: Journal Article
• Language: Japanese
• Published: The Japanese Society for Spine Surgery and Related Research 20.04.2020; 一般社団法人 日本脊椎脊髄病学会
• Subjects: abscess; non-tuberculous mycobacteria; spondylitis; 脊椎炎; 膿瘍; 非結核抗酸菌
• ISSN: 1884-7137; 2435-1563
• DOI: 10.34371/jspineres.2020-0408

Vertebral osteomyelitis caused by non-tuberculous mycobacteria is uncommon, and there are only few reports in the literatures to date. It is characterized by progressive bony destruction and abscess formation. We report two patients who suffered from vertebral osteomyelitis caused by Mycobacterium Avium Complex (MAC). Those patients were successfully treated by two-staged posterior-anterior surgeries, i.e. posterior stabilization with spinal instrument followed by anterior debridement and autogenous strut bone grafting. After the surgery, infection was effectively controlled with apparent reduction of paravertebral abscess.