SIMULTANEOUS THREE-COLUMN REVISION RECONSTRUCTION OF THE CERVICAL SPINE IN EARLY DEEP SURGICAL SITE INFECTION COMPLICATED BY SEVERE ANGULAR KYPHOTIC DEFORMITY: A CLINICAL CASE

Аннотация

Background. Angular kyphotic deformity of the cervical spine represents one of the most severe forms of spinal pathology, often associated with progressive neurological deficits, severe pain, sagittal imbalance, and reduced quality of life. While postlaminectomy syndrome and ankylosing spondylitis are well-studied causes, cervical angular kyphosis secondary to deep surgical site infection (SSI) remains poorly described in the literature.

Objective. To present the clinical, radiological, and surgical outcomes of a simultaneous three-column revision reconstruction of the cervical spine in a patient with early deep SSI complicated by severe angularly photic deformity.

Methods. A 57-year-old male developed early deep SSI following staged anterior cervical discectomy and fusion, complicated by spondylitis, epidural abscess, and progressive angular cervical kyphosis. A three-stage single-session surgical strategy was applied, including anterior corpectomy, posterior decompression with instrumented fixation, and anterior column reconstruction with a titanium mesh cage.
Results. At 10-month follow-up, significant pain relief, neurological improvement, and restoration of sagittal alignment were achieved. The angular kyphosis was corrected by 46°, ODI and NDI scores improved to mild disability, and no signs of recurrent infection were observed.