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The role of laparoscopic biopsies in lumbar spondylodiscitis.
Journal article

The role of laparoscopic biopsies in lumbar spondylodiscitis.

  • 2001-04-04
Published in:
  • Surgical endoscopy. - 2000
Anesthesia, Epidural
Biopsy, Needle
Discitis
Female
Gram-Positive Bacterial Infections
Humans
Laparoscopy
Lumbar Vertebrae
Magnetic Resonance Imaging
Middle Aged
Pain, Postoperative
Propionibacterium acnes
Tomography, X-Ray Computed
English The infection of an intervertebral disk is a serious condition. The diagnosis often is elusive and difficult to make. It is imperative to have appropriate microbiologic specimens before the initiation of treatment. We report the case of a 51-year-old woman with lumbar spondylodiscitis caused by infection after the placement of an epidural catheter for postoperative analgesia. A spinal magnetic resonance imaging (MRI) scan confirmed the diagnosis, but computed tomography (CT)-guided fine-needle biopsy did not yield adequate material for a microbiologic diagnosis. Laparoscopic biopsies of the involved disk provided good specimens and a diagnosis of Propionibacterium acnes infection. We believe that this minimally invasive procedure should be performed when CT-guided fine-needle biopsy fails to yield a microbiologic diagnosis in spondylodiscitis.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://sonar.ch/global/documents/139148
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