case_images: PMC7193194_01
case_images: Preoperative magnetic resonance imaging scan of lumbosacral spine (sagittal and axial cut): mild disc bulge at L4-L5 level.
case_images: SNI-11-63-g001.jpg
case_images: PMC7193194_01_SNI-11-63-g001.jpg
case_images: F1
case_images: 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].
case_images: Magnetic resonance imaging scan of lumbosacral spine (T2 weighted): features suggestive of spondylodiscitis at L4-L5 level.
case_images: SNI-11-63-g002.jpg
case_images: PMC7193194_01_SNI-11-63-g002.jpg
case_images: F2
case_images: 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].
case_images: Contrast magnetic resonance imaging scan of lumbosacral spine showing enhancement of end plates at L4-L5 level.
case_images: SNI-11-63-g003.jpg
case_images: PMC7193194_01_SNI-11-63-g003.jpg
case_images: F3
case_images: 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].
case_images: Computed tomography scan showing vertebral destruction with cavitation at L4 and L5 vertebra and end plate erosion.
case_images: SNI-11-63-g004.jpg
case_images: PMC7193194_01_SNI-11-63-g004.jpg
case_images: F4
case_images: 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].
case_images: Postoperative X-ray: L4-L5 fixation with pedicle screws bilaterally with intervertebral autogenous posterior iliac crest bone graft.
case_images: SNI-11-63-g005.jpg
case_images: PMC7193194_01_SNI-11-63-g005.jpg
case_images: F5
case_images: 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.