Debridement for infectious spondylodiscitis in a 9-year-old girl using full-endoscopic discectomy system: A case report and literature review

Abstract

Objective: Infectious spondylodiscitis (IS) is rarely seen in healthy elementary school age children. Conservative treatment with antibiotics is usually preferable but sometimes fails because of the low identification rate of the pathogen by percutaneous needle biopsy. When surgical treatment is indicated, selecting the appropriate procedure is crucial in terms of invasiveness for such young children. Case report: We present the case of a 9-year-old otherwise healthy girl with IS who successfully underwent debridement and identification of the causative pathogen using full endoscopic discectomy (FED) system. Methicillin-susceptible Staphylococcus aureus was identified on several cultures of samples. Immediately after the surgery, the LBP was significantly decreased and the remittent fever resolved dramatically. At the 1-year follow-up, she had no symptoms and plain radiographs showed bony fusion. Conclusion: This is the first report on IS in elementary school-age children treated with the FED system. Debridement using this system could provide minimally invasive and effective cu-rettage of the infected disc space and can be helpful in identifying the pathogen even for small children. J. Med. Invest. 67: 351-354, August, 2020.