case_images: PMC6636486_01
case_images: Sagittal STIR MR demonstrating signal abnormality in the L3 disc space with endplate irregularity.
case_images: CRIOR2019-4268468.001.jpg
case_images: PMC6636486_01_CRIOR2019-4268468.001.jpg
case_images: fig1
case_images: Due to unremitting back pain, he presented to our institution where a repeat MR imaging study was obtained demonstrating abnormal intradiscal signal between the L3 and L4 vertebral bodies consistent with disc space infection and adjacent vertebral osteomyelitis (Figure 1).
case_images: (a, b) Standing anterior-posterior and lateral X-rays demonstrating T11-S2 bilateral pedicle screw and rod fixation with bilateral iliac screws. Anterior interbody L4 and L5 PEEK graft. Anterior L3 intradiscal expandable cage and bone graft.
case_images: CRIOR2019-4268468.002.jpg
case_images: PMC6636486_01_CRIOR2019-4268468.002.jpg
case_images: fig2
case_images: Circumferential spinal fixation was also desired due to the patient's poor bone quality and placement of the expandable cage (Figures 2(a) and 2(b)).