Allergy to implants in lumbar screw fixation mimics postsurgical wound infection

摘要

We report the case of a 44-year-old female patient with lumbo-ischialgic pain projecting to dermatomes S1. Conservative treatment was unsuccessful and the pain progressed until the patient was unable to walk. After lumbar computed tomography (CT) evaluation, a radicular compression due to listhesis could be seen in the level L5/S1 (Meyerding Grade I, Fig. la). Radicular decompression and screw fixation from L5 to S1 followed. The postoperative CT shows good screw position and dural decompression (Fig. 1b).