Thoracic Infectious Spondylitis After Surgical Treatments of Herniated Lumbar Intervertebral Disc
Annals of Rehabilitation Medicine
;
: 725-729, 2013.
Article
in English
| WPRIM
| ID: wpr-114387
ABSTRACT
The postoperative infectious spondylitis has been reported to occur among every 1% to 12%. It is difficult to early diagnose in some cases. If the diagnosis is delayed, it can be a life-threatening condition. We report a 32-year-old male patient with postoperative infectious spondylitis. He had surgical treatments for traumatic intervertebral disc herniations in L3-4 and L4-5. Three weeks after surgery, he complained for fever and paraplegia. Cervicothoracic magnetic resonance imaging showed the collapsed T2 and T3 vertebral body with changes of bone marrow signal intensity. Moreover, it showed anterior and posterior epidural masses causing spinal cord compressions which suggested infectious spondylitis. After the use of antibiotics and surgical decompressions T2-T3, his general conditions were improved and muscle power of lower extremities began to be gradually restored. However, we could not identify the exact organisms that may be the cause of infectious spondylitis. It could be important that the infectious spondylitis, which is presented away from the primary operative level, should be observed in patients with fevers of unknown origin and paraplegia.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paraplegia
/
Spinal Cord Compression
/
Spondylitis
/
Bone Marrow
/
Magnetic Resonance Imaging
/
Decompression, Surgical
/
Lower Extremity
/
Fever
/
Intervertebral Disc
/
Intervertebral Disc Displacement
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
Annals of Rehabilitation Medicine
Year:
2013
Type:
Article
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