Kyphoplasty in the setting of corynebacterium striatum septicemia with postoperative osteomyelitis requiring salvage vertebrectomy: a case report.

Background: Kyphoplasty (KP) is a well-established procedure with a low complication risk, however, the procedure's safety in patients with comorbidities and in the setting of systemic infection remains uncertain with no clear guidelines. We present a unique case of KP in the setting of recurrent septicemia, which required subsequent salvage vertebrectomy. Case Description: We present a clinical case of a 59-year-old diabetic male patient with a recent foot ulcer, positive for Conclusions: While current cases in literature discuss the infectious risk of KP, this case emphasizes the extended time in which osteomyelitis can recur in patient with systemic infections. Care must be taken preoperatively and perioperatively to ensure there is minimal risk of further bacterial seeding into implanted materials. Preoperative infection status should be monitored via blood culture and inflammatory markers. Preoperative and perioperative antibiotics should be administered and perioperative cultures should be collected in case of postoperative infection. Further cases, prospective, and retrospective studies are necessary to fully understand the adequate guidelines to performing KP in the setting of systemic infection.