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Expandable metallic cages made reconstruction of these defects significantly easier. However, concern exists that metallic implants affect the resolution of infection. A search of the authors\u2019 patient database from 2005 to 2009 revealed 21 patients with spondylodiscitis treated with anterior debridement and reconstruction with an expandable metallic cage. Fourteen patients (15 cases) had sufficient documented clinical follow-up and were available for review. Resolution of infection was determined by evaluating symptoms, laboratory data, and final radiographic result. Of the 15 cases, all had clinical resolution of infection with an average follow-up time of 25 months. An average loss of 1.9\u00b0 of correction was observed when comparing final follow-up radiographs with initial postoperative radiographs. Radiograph review revealed no extensive osteolysis around the hardware or progressive collapse. These results suggest that the use of expandable metal cages maintains alignment while not perpetuating infection. The spine appears to provide a unique environment that permits the use of metal implants in the setting of infection.<\/jats:p>","DOI":"10.3928\/01477447-20140528-53","type":"journal-article","created":{"date-parts":[[2014,6,23]],"date-time":"2014-06-23T15:18:41Z","timestamp":1403536721000},"source":"Crossref","is-referenced-by-count":12,"title":["Use of Permanently Placed Metal Expandable Cages for Vertebral Body Reconstruction in the Surgical Treatment of Spondylodiscitis"],"prefix":"10.3928","volume":"37","author":[{"given":"Graham","family":"Calvert","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Larry A.","family":"May","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Theiss","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"issue":"4","key":"e_1_3_1_2_2","first-page":"447","article-title":"Vertebral osteomyelitis in northern Spain: report of 62 cases","volume":"17","author":"Belzunegui J","year":"1999","unstructured":"Belzunegui J, Del VN, Intxausti JJ, et al. 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