Buyukbebeci Orhan, Karakurum Gunhan, Guleç Akif, Erbagci Ahmet
Department of Orthopaedic Surgery, School of Medicine, Gaziantep University, Turkey.
Arch Orthop Trauma Surg. 2004 Jun;124(5):346-8. doi: 10.1007/s00402-004-0660-y. Epub 2004 Apr 7.
Tuberculous osteomyelitis in the lumbosacral region is an uncommon occurrence, and its treatment is not well-defined in the literature, particularly when it is associated with abscess formation. We present the outcome of a patient who had an epidural abscess with presacral extension.
A 30-year-old man had microbiologically confirmed tuberculous infection of the lumbosacral vertebrae complicated by extensive abscess formation. After a trial of chemotherapy, the infection proved refractory, and the treatment proceeded with abscess drainage through the anterior route.
Approximately 1 year after surgery, the patient was symptom-free and did not show any significant radiologic changes.
Antituberculous chemotherapy combined with anterior surgery seems to be beneficial in the setting of lumbosacral osteomyelitis complicated by epidural abscess formation with presacral extension.
腰骶部结核性骨髓炎并不常见，其治疗方法在文献中并未明确界定，尤其是当它伴有脓肿形成时。我们报告了一名患有硬膜外脓肿并向骶前延伸的患者的治疗结果。
一名30岁男性经微生物学证实腰骶椎结核感染，并伴有广泛脓肿形成。化疗试验后，感染证明难以治愈，遂通过前路进行脓肿引流治疗。
术后约1年，患者无症状，影像学上也未显示任何明显变化。
抗结核化疗联合前路手术似乎有益于伴有向骶前延伸的硬膜外脓肿形成的腰骶部骨髓炎。
