Showing Case Studies for: Infection

T10, T11 Osteomyelitis

75-year-old female presents with significant medical history and prior spine surgery
Presented by: J. Aferzon MS, MD
The patient is a 75-year-old female with a 6 month history of progressive mid back pain. Her medical history is extensive and includes a previous instrumented spine surgery. This case includes a video.

Kyphosis Nonunion with Cervical Spinal Myelopathy

Presented by: T. Albert MD
The patient is a 75-year-old male, who is status post laminectomy and fusion at C2-C5. His pain has worsened and other symptoms have led to his inability to ambulate.

Paraplegic with Charcot Spine: Complains of Back Pain and Instability

Presented by: S. Lewis MD
A 40-year-old female paraplegic complains of back pain and instability: how would you treat this case? Case submitted by Stephen Lewis, MD.

Sudden Onset of Paraplegia: T2 and T3 Collapse with Abscess

Tuberculosis Case: How to Treat the Abscess?
Presented by: N. Arbatti MS (Ortho), FISS, FABMISS
The patient is a 60-year-old female with sudden onset of paraplegia for the last 2 days. She has a previous history of low-grade neck and upper back pain for the last 6 months. Biopsy reveals tuberculosis: how to treat?

Post-surgical Discitis

Antibiotics, Debridement, or Fusion?
Presented by: C. Shaffrey MD
Following an MIS discectomy, a 36-year-old male develops “horrible” back pain and during repeat MRI, discitis is seen. How best to treat this patient? Course of antibiotics? Debridement? Debridement and fusion? Read how one spine surgeon treated this post-operative infection patient.

Thoracolumbar Junction Osteomyelitis with Kyphotic Deformity

Presented by: A. Baaj MD, J. Uribe MD, FAANS, D. Smith MD
The patient is a 54-year-old woman with a prior history of IV drug abuse. She was hospitalized in 2007 with spinal osteomyelitis at T11-T12. This was treated with IV antibiotics. She was admitted multiple times in the last several months for chronic refractory osteomyelitis (MRSA on biopsy) at T11-L1 despite prolonged courses of antiobiotics.

Lumbar Construct Failure

Presented by: J. Uribe MD, FAANS, E. Dakwar MD, R. Cardona MD
This 57-year-old male, with a history of cirrhosis of the liver, presents with lumbar construct failure.

Cervical Myelopathy with Osteomyelitis or Something Else?

Presented by: I. Lieberman MD, MBA, FRCSC
The patient is a 70-year-old male with a history of cervical pain that has increased the last two months. He is an active golfer and complains of hand grip weakness that affects his game.

Discitis and Osteomyelitis in a 63-Year-old Male

Presented by: C. Kim MD, PhD
During the course of treatment, this 63-year-old man developed severe low back pain, recurrent fevers, and intermittent bacteremia.

Unusual Case: Low Back Pain with L1-L3 Degeneration and L1-L2 Instability

Presented by: I. Khan MD
This is an unusual case of a 30-year-old male diagnosed with SAPHO.
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