2017 Volume 24 Issue 2 Pages 105-108
A 54-year-old male patient who had been receiving medical treatment for a lumbar disc herniation developed lumbar pyogenic spondylitis. Three weeks after antibiotic treatment, the number of leukocytes and the serum level of C reactive protein normalized. However, it was difficult for him to walk and sit because of severe low back pain that had been occurring for more than 3 months after treatment. Generally, interventional treatment on a previously or currently infected area is not recommended; however, taking into account his treatment progress, social context, and desire for treatment, we decided to perform a percutaneous nucleotomy( intervertebral disc biopsy) and radiofrequency-assisted decompressive nucleotomy to evaluate for infection control and treatment of the discogenic pain. After the manipulation, despite not detecting any bacterial agents, his condition had noticeably improved.
