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Disseminated Septic Emboli, Septic Thrombosis of the Vena Cava and the Common Iliac and Renal Veins, and Retroperitoneal Abscess Secondary to Pyogenic Spondylitis of the Lumbar SpineA Case Report
Jun-Seok Lee, MD1; Ki-Won Kim, MD2
1 Department of Orthopaedic Surgery, Dongshin General Hospital, Hongeun-dong 430, Seodaemoon-ku, 120-848, Seoul, South Korea. E-mail address: junband@naver.com
2 Department of Orthopaedic Surgery, St. Mary's Hospital, The Catholic University of Korea, 62 Yoido-dong, Youngdeungpo-ku, Seoul, 150-010, South Korea. E-mail address: kiwonk@lycos.co.kr
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.

Investigation performed at the Department of Orthopaedic Surgery, Dongshin General Hospital and St. Mary's Hospital, The Catholic University of Korea, Seoul, South Korea

Copyright © 2011 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2011 Jun 01;93(11):e59 1-5. doi: 10.2106/JBJS.J.01157
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Extract

Pyogenic spondylitis is an infection of the spine that can include the disc, bone, the epidural space, and adjacent structures1,2. With adequate clinical suspicion and appropriate diagnostic evaluation, most pyogenic spine infections can be managed with culture-specific antibiotics2,3. However, in certain cases, surgery may be necessary to perform an open biopsy or treat a clinically relevant abscess, spinal instability, a severe deformity, or a neurologic deficit; surgery may also be necessary because of the failure of nonoperative treatment1-3.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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