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Hemodialysis-Associated Spondylodiscitis of the Cervical Spine

A Case Report

Shaw, K. Aaron, DO1; Boomsma, Shawn E., DO1; Johnson, Peter C., MD1; Gloystein, David M., MD1

doi: 10.2106/JBJS.CC.O.00037
Case Reports

Case: A fifty-seven-year-old, hemodialysis-dependent man presented with a one-month history of progressive neck pain and paresthesias of the upper extremities. Radiographic examination demonstrated collapse of the C5 and C6 vertebrae with resultant kyphosis and spinal cord compression.

Conclusion: The patient underwent a staged anterior debridement with C5 and C6 corpectomies, cage placement, and plate fixation of C4 to C7, followed by a posterior arthrodesis from C4 to C7. He completed a six-week course of intravenous antibiotics for the treatment of Staphylococcus epidermidis spondylodiscitis, followed by suppressive oral antibiotics. At one year of follow-up, he had no residual neck pain or neurological signs or symptoms.

1Department of Orthopaedic Surgery, Dwight D. Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905. E-mail address for K.A. Shaw:

Copyright © 2015 by The Journal of Bone and Joint Surgery, Incorporated
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