I present a 52 year old female with a complex history and a complicated course. She has had back pain for multiple years and has been diagnosed with adult scoliosis. She presented to an urgent care facility with complaints of back pain. She received an injection in her lower back. A few days later the pain has worsened and she lost the ability to move her right leg. She presented to the emergency room and had fevers up to 103.4°F.
Today she is standing tall with minimal pain. She is quite happy in the end.
An MRI and CAT scan help to identify an infection in her right neural plexus of nerves and into her right abdominal area (ilio psoas abscess). She continued to show signs of infection and sepsis and ultimately had a surgical decompression of the infection from a posterior spinal approach. Shortly thereafter, her fevers subsided. She was placed on long term antibiotics both orally and through an IV.
She was managed with a brace, however, due to weakness in her bones from the infection, she found herself falling forward whenever she tried to stand or walk.
This deformity progressively worsened over months, and she was finally indicated for an anterior and posterior spinal fusion. Initially, she received a three level diskectomy with fusion from a small incision lateral approach.
Three days later, she received a posterior spinal fusion with instrumentation with multiple osteotomies. Her post‐operative hospital course was unremarkable. She was discharged 5 days after her second surgery. Today she is standing tall with minimal pain. She is quite happy in the end.