Percutaneous transforaminal approach for the diagnosis and treatment of a case of lumbar tuberculous spondylodiscitis with epidural abscess.

• Autores: Lovatón-Espadín, Rolando, León-Palacios, José, Cárdenas-Raymundo, Luis, Ortega- Cruz, Rolando, Alaba-García, Wesley
• Formato: artículo
• Fecha de Publicación: 2022
• Institución: Universidad Peruana Cayetano Heredia
• Repositorio: Revistas - Universidad Peruana Cayetano Heredia
• Lenguaje: español
• OAI Identifier: oai:revistas.upch.edu.pe:article/4334
• Enlace del recurso: https://revistas.upch.edu.pe/index.php/RNP/article/view/4334
• Nivel de acceso: acceso abierto
• Materia: Spinal tuberculosis; spondylodiscitis; minimally invasive surgical procedures; Tuberculosis espinal; espondilodiscitis; procedimientos quirúrgicos mínimamente invasivos.

Pott’s disease or tuberculous spondylodiscitis accounts for less than 1% of tuberculosis cases. However, the indolent clinical course of this condition leads to a generally delayed diagnosis and to the destruction of the vertebral structures. The resulting spinal deformity requires surgical treatment, which is complex and demands a prolonged hospital stay. In this report, we present the case of a 52-year-old male patient who was diagnosed with lumbar spondylodiscitis by clinical and imaging studies, without response to an empiric antibiotic treatment. Transforaminal percutaneous approach, a minimally invasive technique, allowed the diagnosis of tuberculous spondylodiscitis and a symptomatic improvement of the patient.