case_images: PMC7476689_01
case_images: Pre-operative magnetic resonance imaging showing L5-S1 spondylolisthesis.
case_images: JOCR-10-73-g001.jpg
case_images: PMC7476689_01_JOCR-10-73-g001.jpg
case_images: F1
case_images: A 35-year-oldpreviously fit male patient underwent uncomplicated lumbar interbody fusion for leg and back pain secondary to a spondylolisthesis (Fig. 1).
case_images: Post-operative computed tomography showing resorption of L5 inferior end plate.
case_images: JOCR-10-73-g002.jpg
case_images: PMC7476689_01_JOCR-10-73-g002.jpg
case_images: F2
case_images: Repeat CT (Fig. 2) demonstrated bone resorption around one of the interbody cages.
case_images: Post-operative magnetic resonance imaging showing non-specific marrow edema and absence of fluid for targeted computed tomography-guided biopsy.
case_images: JOCR-10-73-g003.jpg
case_images: PMC7476689_01_JOCR-10-73-g003.jpg
case_images: F3
case_images: As there was no clear target for biopsy (Fig. 3), a plan was made for empiric intravenous antibiotics for 6 weeks.
case_images: Progression of bony resorption around the cage.
case_images: JOCR-10-73-g004.jpg
case_images: PMC7476689_01_JOCR-10-73-g004.jpg
case_images: F4
case_images: Repeat CT scan demonstrated the progression of the previous appearances (Fig. 4).
case_images: Timeline of C-reactive protein values of the patient.
case_images: JOCR-10-73-g005.jpg
case_images: PMC7476689_01_JOCR-10-73-g005.jpg
case_images: F5
case_images: Rifampicin and teicoplanin were stopped and after a further 48 h temperatures and CRP normalized. (Fig. 5) depicts the timeline of CRP values of the patient.