Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Mar 18, 2025; 16(3): 101073
Published online Mar 18, 2025. doi: 10.5312/wjo.v16.i3.101073
Treatment of refractory thoracolumbar spine infection by thirteen times of vacuum sealing drainage: A case report
Jun-Jie Wu, Zheng-Qi Chang
Jun-Jie Wu, Zheng-Qi Chang, Department of Orthopedics, 960th Hospital of PLA, Jinan 250031, Shandong Province, China
Author contributions: Wu JJ and Chang ZQ made substantial contributions to acquisition, analysis and interpretation of data; Chang ZQ was responsible for the conception and design of the study; Wu JJ was responsible for the drafting and writing of this manuscript; Wu JJ assisted Chang ZQ in completing the operation. All authors confirm the authenticity of all the raw data.
Supported by Natural Science Foundation of Shandong Province, No. ZR2023MH331.
Informed consent statement: Written informed consent was obtained from the patient for publication and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of Interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zheng-Qi Chang, MD, PhD, Associate Professor, Chief Doctor, Department of Orthopedics, 960th Hospital of PLA, No. 25 Shifan Road, Tianqiao District, Jinan 250031, Shandong Province, China. 26766771@qq.com
Received: September 3, 2024
Revised: January 7, 2025
Accepted: February 12, 2025
Published online: March 18, 2025
Processing time: 189 Days and 15.5 Hours
Core Tip

Core Tip: External approach was used to clear the infected lesion, and vacuum sealing drainage (VSD) was used to control lumbar infection. Previous studies have shown that incomplete clearance of lesions is the main cause of recurrent lumbar infections, and VSD can effectively address this issue. This case involves a jumping lesion, and Escherichia coli was isolated from the negative pressure drainage fluid of both lesions, indicating the feasibility of obtaining pathogenic microorganisms from negative pressure drainage fluid.