PMC7652712_01
Lateral and Anteroposterior (AP) Lumbosacral Radiograph of the Patient. There was loss of lumbar lordosis, decrease of body height at L5, burst fracture of L5, end plate sclerosis at level L4-L5 and L5-S1, decrease intervertebral body height at L4-L5 and L5-S1, and fusiform soft tissue opacity around vertebrae L4-S.
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The results of X-ray examination were loss of lumbar lordosis, decrease of body height at L5, burst fracture of L5, end plate sclerosis at level L4-L5 and L5-S1, decrease intervertebral body height at L4-L5 and L5-S1, and fusiform soft tissue opacity around vertebrae L4-S1 (Fig. 1).
Lumbosacral MRI. The findings were loss of lumbar lordosis, corpus destruction of L5, decrease intervertebral body height at L4-L5 and L5-S1, protrusion of L4-L5 intervertebral disc into the spinal cord, and paraspinal abscess.
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The findings of MRI examination of the lower vertebrae were loss of lumbar lordosis, decrease of body height at L5, decrease intervertebral body height at L4-L5 and L5-S1, protrusion of L4-L5 intervertebral disc into the spinal cord, and paraspinal abscess (Figs. 2 and 3).
Local and Regional Kyphotic Angle based on Lateral Radiograph. The local kyphotic angle is 21.1  and regional kyphotic angle is 15.7 .
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The findings of MRI examination of the lower vertebrae were loss of lumbar lordosis, decrease of body height at L5, decrease intervertebral body height at L4-L5 and L5-S1, protrusion of L4-L5 intervertebral disc into the spinal cord, and paraspinal abscess (Figs. 2 and 3).
Surgical Procedure of Anterior Debridement and Fusion. (A) Patient preparation and draping. (B) Exposure of peritoneum by anterior approach. (C) Exposure of the corpus of vertebrae L4 and L5. (D) Corpectomy of L5 and discectomy of L4-L5 intervertebral disc. (E) Expendable mesh insertion. (F) Final construct.
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The patient was diagnosed by paraparesis due to spondylitis Tb of L4-S1 with paravertebral abscess at L4-S1 Frankle D then underwent anterior debridement and fusion (Fig. 4).
Six months Postoperative Radiograph. Expendable mesh was visible through x-ray examination. The local kyphotic angle is 15.5  and regional kyphotic angle is 3.9 .
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Postoperative radiograph showed restoration of vertebral height and visible expendable mesh (Fig. 5).
One Year Postoperative Radiograph. Expendable mesh with sign of fusion was visible through x-ray examination.
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Three months and six months and one year post operative follow up showed good functional outcome and sign of fusion from x ray (Fig. 6) and CT (Fig. 7).