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Methicillin-Resistant Staphylococcus aureus as a Cause of Lumbar Facet Joint Septic ArthritisA Report of Two Cases
Venkatesh Krishnan, DNB(Orth)1; R. Amritanand, MS(Orth)1; G.D. Sundararaj, MCh, MS(Orth)1
1 Spinal Disorders Services, Department of Orthopaedics Unit 1, Christian Medical College, Vellore, Tamil Nadu-632004, India. E-mail address for R. Amritanand: rohit@cmcvellore.ac.in
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.

Investigation performed at the Spinal Disorders Services, Department of Orthopaedics Unit 1, Christian Medical College, Vellore, Tamil Nadu, India

Copyright ©2010 American Society for Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2010 Feb 01;92(2):465-468. doi: 10.2106/JBJS.H.01888
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Extract

Hematogenous septic arthritis of the lumbar facet is a well-recognized although rare1-5 primary infectious entity of the spine. Traditionally, the most commonly implicated organism has been Staphylococcus aureus1,2,6. Although there have been reports of methicillin-resistant Staphylococcus aureus (MRSA) spondylodiscitis7, methicillin-resistant Staphylococcus aureus as a cause of hematogenous facet joint septic arthritis has not been described, to our knowledge. We report our experience with the treatment of two cases of facet joint septic arthritis due to methicillin-resistant Staphylococcus aureus. The patients were informed that data concerning these cases would be submitted for publication, and they consented.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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