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  • Title: Tuberculous osteomyelitis of the lumbosacral region: a spinal epidural abscess with presacral extension.
    Author: Buyukbebeci O, Karakurum G, Guleç A, Erbagci A.
    Journal: Arch Orthop Trauma Surg; 2004 Jun; 124(5):346-8. PubMed ID: 15069571.
    Abstract:
    INTRODUCTION: Tuberculous osteomyelitis in the lumbosacral region is an uncommon occurrence, and its treatment is not well-defined in the literature, particularly when it is associated with abscess formation. We present the outcome of a patient who had an epidural abscess with presacral extension. MATERIALS AND METHODS: A 30-year-old man had microbiologically confirmed tuberculous infection of the lumbosacral vertebrae complicated by extensive abscess formation. After a trial of chemotherapy, the infection proved refractory, and the treatment proceeded with abscess drainage through the anterior route. RESULTS: Approximately 1 year after surgery, the patient was symptom-free and did not show any significant radiologic changes. CONCLUSION: Antituberculous chemotherapy combined with anterior surgery seems to be beneficial in the setting of lumbosacral osteomyelitis complicated by epidural abscess formation with presacral extension.
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