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Case consultation

Case consultation. 45 years / Lady Severe pain low back – 3 months Bed ridden – 2 months Flexion Contracture of B/L knee Draining sinus – Left iliac fossa and left knee On ATT for last 1 month. Surgery. Decompression and Stabilization Anteriorly – Spinal mesh

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Case consultation

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  1. Case consultation • 45 years / Lady • Severe pain low back – 3 months • Bed ridden – 2 months • Flexion Contracture of B/L knee • Draining sinus – Left iliac fossa and left knee • On ATT for last 1 month

  2. Surgery • Decompression and Stabilization • Anteriorly – Spinal mesh • Posteriorly – Pedicle screws • Tissues sent for biopsy • HPE - Tuberculosis • Post-op status • Significant pain relief • Knee contracture improved • Started ambulation with brace support

  3. Follow up • Very happy and ambulatory – 3 months • At 6 months • Severe pain – difficulty turning posture in bed • Fluctuant swelling on the back • Explored and debrided – Sterile pus • Pain relieved – happy again • At 9 months • Very severe pain • Difficulty lying on the bed • No swelling on the back • Neurological status normal

  4. preop MRI preop MRI

  5. Preopap preop lat

  6. immediate PO ap immediate PO lat

  7. perop

  8. 6 weeks ap 6 weeks lat

  9. 3 months ap 3 months lat

  10. 6 months ap 6 months lat

  11. 9 months ap 9 months lat

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