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KMID : 0388720090160030222
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Journal of Korean Society of Spine Surgery
2009 Volume.16 No. 3 p.222 ~ p.227
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The Rectal Fistula Complicating an L5-S1 Postoperative Spondylodiscitis - A Case Report -
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Lee Sang-Hoon
Seo Eun-Min
Choi Sung-Il
Kim Ki-Tack
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Abstract
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To our knowledge, there are no reported cases of rectal fistula complicating spondylodiscitis. We report the first case of a rectal fistula communicating with the site of postoperative recurrent spondylodiscitis. A-59-year-old female had recurrent spondylodiscitis after an open discectomy for L5-S1 eight years earlier. She underwent three operations including two anterior lumbar interbody fusion procedures after an open discectomy. Radiographic studies revealed severe bony destruction with abscess collection within the L5-S1 intervertebral disc space with fistula formation into the rectum. The fistula was confirmed by a Barium enema colon study and sigmoidscopy. The patient underwent a staged operation consisting of a rectosigmoid colon resection, anterior interbody fusion and posterior instrumented fusion. Rectum related complications were suspected in this case of recurrent spondylodiscitis.
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KEYWORD
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Spondylodiscitis, Rectal fistula
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