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KMID : 1207720110030030254
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Clinics in Orthopedic Surgery
2011 Volume.3 No. 3 p.254 ~ p.257
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Chronic Osteomyelitis of the Lumbar Transverse Process
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Lee Bong-Jin
Kim Seong-Tae
Yoon Min-Geun
Kim Sung-Soo
Moon Myung-Sang
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Abstract
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Pyogenic spondylitis involving only the posterior element of a vertebra is rare. To the best of our knowledge, there have been no reports of osteomyelitis of the transverse process. We report here on a 45-year-old male with a one month history of swelling associated with lower back pain. The magnetic resonance imaging showed a paraspinal soft tissue mass, and computed tomography revealed a fine osteolytic lesion in the right transverse process of the 5th lumbar spine, and this was all consistent with chronic osteomyelitis. A mixed staphylococcal infection was identified. Open drainage, resection of the transverse process and intravenous injection of anti-staphylococcal antibiotics resolved the back pain and reduced the erythrocyte sedimentation rate to normal. Pyogenic osteomyelitis of the transverse process is extremely rare, which can cause a misdiagnosis or a delayed diagnosis. Careful consideration of this disease is needed when evaluating patients who complain of back pain.
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KEYWORD
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Osteomyelitis, Transverse process, Lumbar spine
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