Gordon E J
South Med J. 1977 Jan;70(1):114-7. doi: 10.1097/00007611-197701000-00053.
Disk space sepsis is a recognized complication of spinal surgery, but infection by a penetrating fistula from a retroperitoneal or pelvic abscess is rare. The lack of localizing symptoms, the insidious disease process, and the clinical and myelographic findings simulating a herniated disk syndrome obscure the true diagnosis and make identification of the primary infection difficult. A good result was obtained in this case by laminectomy and drainage of the lumbosacral disk space, followed by a diagnostic fistulogram and evacuation of a large pelvic abscess.
椎间盘间隙感染是脊柱手术公认的并发症，但由腹膜后或盆腔脓肿的穿透性瘘管引起的感染很少见。缺乏定位症状、隐匿的病程以及模拟椎间盘突出综合征的临床和脊髓造影表现掩盖了真实诊断，使得原发性感染的识别变得困难。在该病例中，通过腰椎板切除术和腰骶椎间盘间隙引流，随后进行诊断性瘘管造影并引流一个大的盆腔脓肿，取得了良好的效果。
