Cellular Bone Matrix Leading to Disseminated Tuberculosis After Spinal Fusion: A Report of 2 Cases

JBJS Case Connect. 2023 Apr 24;13(2). doi: 10.2106/JBJS.CC.23.00047. eCollection 2023 Apr 1.

Abstract

Case: Although implanted tuberculosis (TB) is rare, a single lot of cellular bone matrix was found to be infected with TB, leading to devastating outcomes. We present 2 cases referred to our institution because of instrumentation failure caused by TB inoculation of cellular bone matrix.

Conclusion: Irrespective of spinal region of implanted TB infection, excision of infected bone, extensive irrigation and debridement, and instrumented stabilization are of primary importance to ensure TB eradication and adequate stabilization.

Publication types

  • Case Reports

MeSH terms

  • Bone Matrix / surgery
  • Debridement
  • Decompression, Surgical
  • Humans
  • Spinal Fusion*
  • Tuberculosis, Spinal* / surgery