Latent Spinal Implant Infection During Pregnancy: A Case Report.
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2025-01
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Abstract
Deep spinal surgical site infections (SSIs) following spine surgery pose a significant concern, with management becoming even more complex and high-risk in pregnant patients with spinal instrumentation. The optimal approach to managing this rare scenario remains unclear. We present the case of a 33-year-old pregnant woman who developed a delayed, deep spinal SSI several years after undergoing instrumented fusion for scoliosis. Due to her pregnancy, intervention was deferred until the postpartum period. A multidisciplinary team successfully managed the case with extensive debridement, removal of all instrumentation, and subsequent antibiotic therapy. This case highlights the importance of a multidisciplinary approach in managing complex SSIs during pregnancy. Given the limited data available, we advocate for individualized treatment decisions guided by a thorough risk-benefit analysis. Further research is needed to establish evidence-based guidelines for managing SSIs in this unique patient population.
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Wong, Ian H, Anas Bardeesi and Brett Rocos (2025). Latent Spinal Implant Infection During Pregnancy: A Case Report. Cureus, 17(1). p. e78147. 10.7759/cureus.78147 Retrieved from https://hdl.handle.net/10161/34877.
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Brett Rocos
I joined the team at Duke University Health in 2022 from London, UK, where I was a Consultant Adult and Paediatric Spine Surgeon at Barts Health NHS Trust and Honorary Consultant Senior Lecturer at Queen Mary University of London. I completed my surgical training in in the South West of the UK and at the University of Toronto, and am fellowship trained in adult spine surgery, paediatric spine surgery, orthopaedic trauma surgery, research and healthcare management.
I am driven to support patients at every stage of their care, from clinic assessment, through surgery to discharge. Making sure that every person, adult, child, family or friend understands what’s wrong, helping them to choose the right treatment for them, and what the recovery will be like is an important priority.
My research activity focusses on finding effective new treatments for spinal disorders and bringing them to patients. Focusing on spinal deformity, I have led investigations in the UK, Canada and the USA, and I sit on the Global AO Knowledge Forum for Deformity, the International Spine Study Group and the Research Grants Committee at the Scoliosis Research Society. I have lectured in North America and Europe about the treatment of spine disorders for the Scoliosis Research Society, Global Spine Congress, AO Spine and Eurospine, and I have worked hard to produce research that improves the care for spine patients wherever they live. Lastly, I review for several orthopaedic journals and am a recent Deputy Editor of the Bone and Joint 360, a leading publication with a global readership.
I welcome collaborations across academic settings and departments, and maintain opportunities for studnets at all stages of training to become part of a clinical and research team.
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