Abstract
Case:A 62-year-old man with no comorbidities presented with back and bilateral leg pain and progressive paraplegia that developed over a 1-week period. He had received 2 lumbar epidural steroid injections (LESIs) for lumbar stenosis 39 and 25 days before presentation. Workup revealed osteomyelitis of L4 and L5 with epidural abscesses. He ultimately underwent all-posterior L4 and L5 corpectomy with reconstruction and L1-pelvis arthrodesis, followed by 8 weeks of intravenous antibiotics. His weakness improved, but neurological deficits persisted.Conclusions:This case illustrates a catastrophic complication after LESI, resulting in permanent neurological injury in a patient with no apparent risk factors.
Original language | English (US) |
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Article number | e0028 |
Journal | JBJS case connector |
Volume | 9 |
Issue number | 4 |
DOIs | |
State | Published - 2019 |
ASJC Scopus subject areas
- Medicine(all)