Percutaneous transforaminal approach for the diagnosis and treatment of a case of lumbar tuberculous spondylodiscitis with epidural abscess

Lovatón-Espadín R.; León-Palacios J.; Cárdenas-Raymundo L.; Ortega-Cruz R.; Alaba-García W. · Revista de Neuro-Psiquiatria (2022) · DOI: 10.20453/rnp.v85i3.4334

Resumen

Pott’s disease or tuberculous spondylodiscitis accounts for less than 1% of tuberculosis cases. However, the indolent clinical course of this condition leads to a generally delayed diagnosis and to the destruction of the vertebral structures. The resulting spinal deformity requires surgical treatment, which is complex and demands a prolonged hospital stay. In this report, we present the case of a 52-year-old male patient who was diagnosed with lumbar spondylodiscitis by clinical and imaging studies, without response to an empiric antibiotic treatment. Transforaminal percutaneous approach, a minimally invasive technique, allowed the diagnosis of tuberculous spondylodiscitis and a symptomatic improvement of the patient. Copyright 2022 With Intelligence Ltd.