Archives of orthopaedic and trauma surgery · 2004
Tuberculous osteomyelitis of the lumbosacral region: a spinal epidural abscess with presacral extension.
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Buyukbebeci Orhan, Karakurum Gunhan, Guleç Akif, Erbagci Ahmet
Аннотация
INTRODUCTION: Tuberculous osteomyelitis in the lumbosacral region is an uncommon occurrence, and its treatment is not well-defined in the literature, particularly when it is associated with abscess formation. We present the outcome of a patient who had an epidural abscess with presacral extension.
MATERIALS AND METHODS: A 30-year-old man had microbiologically confirmed tuberculous infection of the lumbosacral vertebrae complicated by extensive abscess formation. After a trial of chemotherapy, the infection proved refractory, and the treatment proceeded with abscess drainage through the anterior route.
RESULTS: Approximately 1 year after surgery, the patient was symptom-free and did not show any significant radiologic changes.
CONCLUSION: Antituberculous chemotherapy combined with anterior surgery seems to be beneficial in the setting of lumbosacral osteomyelitis complicated by epidural abscess formation with presacral extension.
MATERIALS AND METHODS: A 30-year-old man had microbiologically confirmed tuberculous infection of the lumbosacral vertebrae complicated by extensive abscess formation. After a trial of chemotherapy, the infection proved refractory, and the treatment proceeded with abscess drainage through the anterior route.
RESULTS: Approximately 1 year after surgery, the patient was symptom-free and did not show any significant radiologic changes.
CONCLUSION: Antituberculous chemotherapy combined with anterior surgery seems to be beneficial in the setting of lumbosacral osteomyelitis complicated by epidural abscess formation with presacral extension.