Shuhei Ohyama, Masahiro Inoue, Noriyasu Toshi, Kohei Okuyama, Soichiro Tokeshi, Noritaka Suzuki, Yasuhiro Shiga, Kazuhide Inage, Eguchi Yawara, Sumihisa Orita, Seiji Ohtori
Pyogenic vertebral osteomyelitis (PVO) is a prevalent infection in the elderly, frequently complicated by iliopsoas and epidural abscesses. Traditional treatments are often ineffective for refractory cases. In this report, a 76-year-old man with PVO, iliopsoas, and epidural abscess was unresponsive to antibiotics, presenting with severe lower back pain and functional impairments. A two-stage surgical intervention was implemented: anterior debridement, autogenous bone graft fixation, and novel application of retroperitoneal continuous local antibiotic perfusion (CLAP), followed by posterior fixation...
December 2023: Curēus