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Abstract：
Pyogenic spondylodiscitis is an uncommon bacterial infection of the intervertebral disc and the vertebral endplates. It usually affects elderly patients with comorbidities but may be also seen after surgical procedures in young patients, mostly after spinal interventions and genitourinary procedures. This article describes a rare case of pyogenic spondylodiscitis in a young female patient after a cesarean section without spinal anesthesia. The patient presented with a three-month history of lower back pain, and the inflammatory markers were elevated. The magnetic resonance imaging showed the involvement of the L5-S1 disc space and the adjacent vertebral bodies. The diagnosis was confirmed with needle aspiration of purulent material. The patient was treated with antibiotics for a total of six weeks. After a follow-up of about one year, the patient showed slight degenerative vertebral changes with no signs of residual infection. This case highlights the importance of the early recognition of pyogenic spondylodiscitis as one cause of postoperative back pain after urogenital procedures, even without spinal anesthesia. Only a few similar cases were reported in the literature.
摘要：
化脓性脊柱盘炎是一种罕见的椎间盘和椎体终板细菌感染。它通常影响有合并症的老年患者，但也可能在年轻患者的外科手术后看到，主要是在脊柱干预和泌尿生殖系统手术后。本文描述了一名年轻女性患者在没有脊髓麻醉的情况下进行剖宫产后的化脓性脊柱盘炎的罕见病例。患者有三个月的下背部疼痛史，炎症标志物升高。磁共振成像显示L5-S1椎间盘间隙和相邻椎体受累。通过针吸脓性物质证实了诊断。患者用抗生素治疗总共六周。经过大约一年的随访，患者表现出轻微的退行性椎体改变，没有残留感染的迹象。该病例强调了早期认识化脓性脊椎盘炎作为泌尿生殖道手术后背部疼痛的原因之一的重要性。即使没有脊髓麻醉.文献中仅报道了少数类似病例。
