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  • Title: Surgical management of an unusual osteomyelitis involving posterior elements in lumbar spine. A case report.
    Author: Chang CK, Tsai WS, Liu HJ, Pan WC.
    Journal: Changgeng Yi Xue Za Zhi; 1992 Jun; 15(2):110-3. PubMed ID: 1387581.
    Abstract:
    Improper and invasive management of low back pain may lead to an unexpected tragedy, vertebral osteomyelitis. A 30-year-old female patient suffering from low back pain after a lumbar strain called on a herbal therapist and was given a herb massage with some unknown medication. Unfortunately, a persistent painful ulcer with discharge developed over her back. She was referred to our clinic shortly after where x-ray showed bony destruction over the spinous process, facet, and lamina of L4. Fistulectomy, debridement and spinal fusion were performed. A satisfactory outcome was finally achieved.
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