case_images: PMC10847530_01
case_images: Sagittal T2-weighted magnetic resonance imaging (MRI) of the lumbar spine revealed the presence of pus in the intervertebral space between L1 and L2 (A, arrow). Cross-sectional MRI revealed some pus on the right leaking backward under her skin, forming a sinus (B, arrow). Sagittal computed tomography (CT) revealed the presence of sequestrum formation at L2, and no bony fusion was achieved in the intervertebral space between L1 and L2 (C, arrow). The patient underwent the lumbar revision surgery, including removal of posterior internal fixation and debridement, followed by anterior L2 corpectomy, debridement, autograft bone fusion, and internal fixation (D).
case_images: fsurg-11-1327028-g001.jpg
case_images: PMC10847530_01_fsurg-11-1327028-g001.jpg
case_images: F1
case_images: Sagittal T2-weighted magnetic resonance imaging (MRI) of the lumbar spine revealed the presence of pus in the intervertebral space between L1 and L2 (Figure 1A). Cross-sectional MRI revealed some pus on the right leaking backward under her skin, forming a sinus (Figure 1B). Sagittal computed tomography (CT) revealed the presence of sequestrum formation at L2, and no bony fusion was achieved in the intervertebral space between L1 and L2 (Figure 1C). The patient was diagnosed with recurrent lumbar tuberculosis and, accordingly, underwent lumbar revision surgery, including removal of posterior internal fixation and debridement, followed by anterior L2 corpectomy, debridement, autograft bone fusion, and internal fixation (Figure 1D).
case_images: X-ray revealed an avulsion fracture of residual bone in the anterior superior iliac crest (ASIC) (A, arrow), which was further confirmed on CT (B, arrow). Intraoperative fluoroscopy showed a good reduction of the fracture of ASIC had been achieved by an open reduction and internal fixation surgery (C). The postoperative AP x-ray of the pelvis showed a good position of the bone block and the internal fixation (D). The CT showed the fracture ends healed well one year postoperatively (E).
case_images: fsurg-11-1327028-g002.jpg
case_images: PMC10847530_01_fsurg-11-1327028-g002.jpg
case_images: F2
case_images: X-ray revealed an avulsion fracture of residual bone in the ASIC (Figure 2A), which was further confirmed on CT (Figure 2B). Intraoperative fluoroscopy showed a satisfactory fracture reduction was achieved (Figure 2C).