Revision Reconstruction of the Cervical Spine in a Patient With Early Deep Surgical Site Infection Complicated by Angular Kyphosis: Case Report and Review

Background. Deep surgical site infection (DSSI) is one of the most severe complications in spinal surgery. The timing and nature DSSI are determining criteria choice treatment tactics. uniqueness clinical observation combination early DSSI, epidural abscess angular kyphotic deformity formed after a course conservative antibacterial therapy patient who underwent surgery for degenerative-dystrophic disease cervical spine. Correction kyphosis, removal fractured vertebrae, interbody implants three-column reconstruction were performed session.
 Case presentation. A 57-year-old was admitted to clinic staged interventions on spine multilevel degenerative stenosis canal. primary complicated by period second with formation kyphosis revision one-stage reconstructive intervention correct deformity, decompress canal, C3-7 segments. Long-term follow-up showed persistent reduction pain syndrome, improved quality life absence recurrence DSSI.
 Conclusion. presented case illustrates possibilities correction sagittal profile, decompression intracanal neural structures ensuring stability operated Use algorithms based Prinz V. Vajkoczy P. classification contributes selection optimal tactics management.