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Abstract：
Spondylodiscitis is a multifactorial disease of significant medical and socioeconomic importance, the treatment of which presents a challenge to clinicians and surgeons. Acute appendicitis is a common inflammatory disease in children, with postoperative complications occurring in up to 55% of cases. We present the case of a 15-year-old male with symptoms of severe back pain and fever two months following surgery for perforated appendicitis. The computed tomography (CT) revealed spondylodiscitis of T12-L1 spinal level. Discectomy and posterior pedicle-screw fixation were performed, followed by antibiotic treatment resulted in the resolution of preoperative symptoms. To the best of our knowledge, this is the third case of spondylodiscitis after perforated acute appendicitis in literature. Timely diagnosis and treatment in cases of spondylodiscitis are prerequisites for lowering the rate of permanent neurological deficits in these patients.
摘要：
脊椎盘炎是一种具有重要医学和社会经济意义的多因素疾病，其治疗对临床医生和外科医生提出了挑战。急性阑尾炎是儿童常见的炎症性疾病,术后并发症发生在55％的病例中。我们介绍了一名15岁男性在穿孔性阑尾炎手术后两个月出现严重背痛和发烧症状的病例。计算机断层扫描（CT）显示T12-L1脊柱水平的脊椎盘炎。进行了椎间盘切除术和后路椎弓根螺钉固定，随后的抗生素治疗导致术前症状的缓解.据我们所知,这是文献中第3例急性阑尾炎穿孔后的脊椎盘炎。及时诊断和治疗脊椎盘炎是降低这些患者永久性神经功能缺损率的先决条件。
