Abstract
Spondylodiscitis is a rare but severe complication of sacral colpopexy (SC) procedure.
Although the term ‘spondylodiscitis’ refers to infection of vertebral body and intervertebral
disc space, neither the infecting microorganism could be isolated nor any purulent
material could be observed during the second surgery and there was failure of different
regimens of antibiotherapy. This type of spondylodiscitis cases might be explained
by the graft rejection hypothesis. We hypothesize that the initiator of the rejection
process is the host response solely and infection is just a co-incidence. In this
situation, infection is neither a cause of this reaction, nor a promoter. There might
be no infection at all. We presented two spondylodiscitis cases most probably secondary
to graft rejection reaction and reviewed the literature in order to increase the awareness
of this destructive complication of SC, which can only be ameliorated by surgical
mesh removal.
Keywords
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Article info
Publication history
Published online: August 21, 2015
Accepted:
August 6,
2015
Received in revised form:
July 17,
2015
Received:
March 14,
2015
Identification
Copyright
© 2015 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.
