Chronic Osteomyelitis of the Lumbar Transverse Process
Clinics in Orthopedic Surgery
;
: 254-257, 2011.
Article
in English
| WPRIM
| ID: wpr-102709
ABSTRACT
Pyogenic spondylitis involving only the posterior element of a vertebra is rare. To the best of our knowledge, there have been no reports of osteomyelitis of the transverse process. We report here on a 45-year-old male with a one month history of swelling associated with lower back pain. The magnetic resonance imaging showed a paraspinal soft tissue mass, and computed tomography revealed a fine osteolytic lesion in the right transverse process of the 5th lumbar spine, and this was all consistent with chronic osteomyelitis. A mixed staphylococcal infection was identified. Open drainage, resection of the transverse process and intravenous injection of anti-staphylococcal antibiotics resolved the back pain and reduced the erythrocyte sedimentation rate to normal. Pyogenic osteomyelitis of the transverse process is extremely rare, which can cause a misdiagnosis or a delayed diagnosis. Careful consideration of this disease is needed when evaluating patients who complain of back pain.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteomyelitis
/
Spinal Diseases
/
Staphylococcal Infections
/
Magnetic Resonance Imaging
/
Tomography, X-Ray Computed
/
Chronic Disease
/
Lumbar Vertebrae
Type of study:
Prognostic study
Limits:
Humans
/
Male
Language:
English
Journal:
Clinics in Orthopedic Surgery
Year:
2011
Type:
Article
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