Annals of rehabilitation medicine
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Ann Rehabil Med 2013 Oct; 37(5): 725-729
Thoracic Infectious Spondylitis After Surgical Treatments of Herniated Lumbar Intervertebral Disc
Jin-Hyun Kim, MD, Jung-Il Kang, MD, Min Jeong Kim, MD, Seong-Eun Koh, MD, Jongmin Lee, MD, In-Sik Lee, MD, Heeyoune Jung, MD
Department of Rehabilitation Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
KEYWORD
Spondylitis, Intervertebral disc displacement, Spinal cord compression
Ann Rehabil Med 2013 Oct; 37(5): 725-729
   

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