Fig. 3

Exemplary case of a 76-year-old male with L4/5 PS: CT and MRI revealed L4/5 infection with an epidural abscess (panels a, b, and c). The SISS was 10, indicating an unstable lesion. Percutaneous pedicle screw fixation was performed (panel d). Due to worsening neurological function, anterior debridement-fusion with iliac bone grafting were conducted one week after the initial surgery (panel e). CT imaging at 12 months demonstrated bony fusion on the sagittal view (panel f). MRI at 12 months revealed complete resolution of the infection (panels g and h)