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Successful Treatment of Mycobacterium gordonae Sacroiliitis Using a Novel Minimally Invasive Sacroiliac Joint Arthrodesis

A Case Report

Wanderman, Nathan, MD1; Thurn, Joseph, MD, MPH2; Wyffels, Mitchell, MD3; Sembrano, Jonathan N., MD2,3,a

doi: 10.2106/JBJS.CC.14.00190
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Disclosures

Case: A 43-year-old man with a history of well-controlled HIV (human immunodeficiency virus) infection presented with sacroiliac joint destruction from a Mycobacterium gordonae infection. A sacroiliac joint arthrodesis was performed using a minimally invasive technique utilizing both biologic fusion (allograft bone with rhBMP-2 [recombinant human bone morphogenetic protein-2]) and fixation with titanium ingrowth rods.

Conclusion: To our knowledge, this is the first reported case of infectious sacroiliitis from a nontubercular mycobacterium (M. gordonae) treated with a combination of joint debridement, biologic fusion with bone graft, and nonbiologic functional fusion using titanium ingrowth rods, all performed in a minimally invasive fashion. This strategy effectively alleviated pain and preserved function at 2 years of follow-up.

1Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota

2Departments of Infectious Diseases (J.T.) and Orthopaedic Surgery (J.N.S.), Minneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota

3Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota

aE-mail address for J.N. Sembrano: sembr001@umn.edu

Copyright © 2016 by The Journal of Bone and Joint Surgery, Incorporated
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