Jin TangWuhan Sports University, China
Title: Management of a Severe Lumbar Infection (360° Abscess) Using Spinal Endoscopy: A Case Report
Objective: This study aims to provide an in-depth understanding of a rare occurrence of severe lumbar infection presenting as a 360° abscess, detailing its diagnosis, management, and subsequent follow-up.
Methods: We conducted a comprehensive case study, drawing data from the patient's medical records, laboratory investigations, imaging studies, and follow-up reports. Our approach included a review of the patient's history, the clinical and radiological findings, and the treatment procedures employed.
Results: A female patient, aged 62, presented with severe low back pain and right lower limb pain. A thorough evaluation revealed the presence of a lumbar abscess encircling the spine. Diagnostic studies, including laboratory tests and magnetic resonance imaging (MRI), confirmed the 360° spread of the abscess. Spinal endoscopy was employed to drain the abscess, resulting in immediate relief of symptoms. Post-procedure, the patient was administered a course of antibiotics. Follow-up evaluations over a six-month period demonstrated a notable improvement in clinical symptoms and patient's quality of life, without recurrence of the infection.
Conclusion: This case report highlights the utility of spinal endoscopy in managing severe lumbar infection. This minimally invasive procedure could potentially provide an effective approach to treating similar cases. However, larger cohort studies are needed to further ascertain the safety, efficacy, and long-term outcomes of this procedure.