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Fig. 3 | Journal of Orthopaedic Surgery and Research

Fig. 3

From: One-stage posterior debridement approach combined with autogenous bone grafting and internal fixation for the treatment of adult thoracic or lumbar suppurative spondylitis via the multifidus and longissimus interspaces

Fig. 3

A 58 years old male with L3/L4 suppurative spondylitis after a 2 months history of intermittent back pain and numbness in both lower limbs. A-D preoperative X-ray, CT showed L3/L4 vertebral body and endplate destruction. E-G preoperative MRI showed diffuse abnormal signals of L3/L4 vertebra and intervertebral disc, abscess of lumbar major muscle. H, I intraoperative image showed internal fixation through multifidus and longissimus interspaces and articular process strutting bone grafting. J-M X-ray and CT showed position of internal fixation and bone graft were good, before discharge. N-Q X-ray and CT indicated satisfactory fusion of bone graft and good location of internal fixation at 18 months post-operation

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Journal of Orthopaedic Surgery and Research

ISSN: 1749-799X