Adjacent segment infection complicates long segment fusion in elderly patients

I read with interest the case of proximal junctional spondylodiscitis presented by Formica et al. [1]. Although I agree with the authors, that this complication is an uncommon and a serious complication of spinal surgery, this was not unreported. The first case of adjacent segment infection was reported by Lange et al. [2] who described a patient with two episodes of destructive spondylodiscitis occurring adjacent to levels at which surgery had previously been carried out due to an initial spondylodiscitis.

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