PMC7193194_01
Preoperative magnetic resonance imaging scan of lumbosacral spine (sagittal and axial cut): mild disc bulge at L4-L5 level.
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F1
A healthy, nonimmunocompromised 43-year-old female with bilateral lower extremity radiculopathy had a fluoroscopically guided percutaneous ozone treatment for degenerative lumbar disc disease [Figure 1].
Magnetic resonance imaging scan of lumbosacral spine (T2 weighted): features suggestive of spondylodiscitis at L4-L5 level.
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F2
The repeat MR of the lumbar spine demonstrated L4-L5 spondylodiscitis [Figure 2] with paradiscal erosion consistent with a tubercular type of infection [Figures 3 and 4].
Contrast magnetic resonance imaging scan of lumbosacral spine showing enhancement of end plates at L4-L5 level.
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F3
The repeat MR of the lumbar spine demonstrated L4-L5 spondylodiscitis [Figure 2] with paradiscal erosion consistent with a tubercular type of infection [Figures 3 and 4].
Computed tomography scan showing vertebral destruction with cavitation at L4 and L5 vertebra and end plate erosion.
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F4
The repeat MR of the lumbar spine demonstrated L4-L5 spondylodiscitis [Figure 2] with paradiscal erosion consistent with a tubercular type of infection [Figures 3 and 4].
Postoperative X-ray: L4-L5 fixation with pedicle screws bilaterally with intervertebral autogenous posterior iliac crest bone graft.
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F5
The patient underwent a L4-L5 transforaminal lumbar interbody fusion [Figure 5], with soft-tissue debridement; the purulent/ infected epidural tissues were sent for bacterial, fungal, and tubercular cultures.