Patient Medical History
Mr. Alphonso Saah, a 55-year-old male, presented with severe lower back pain radiating to the right leg, significantly affecting his mobility and daily life. His condition was further complicated by a history of back injury two years prior, along with progressive weakness, numbness, and tingling in the right lower limb.
Diagnostic Investigations
Seeking specialised care, he visited Artemis Hospital, where he was evaluated by Dr. Hitesh Garg and his expert spine team. Clinical examination revealed neurological deficits, including reduced strength in the right ankle and toe movements, indicating nerve involvement.
Diagnostic investigations confirmed lumbar spondylodiscitis, a serious spinal infection affecting the vertebral discs and adjacent structures.
Dr Hitesh Advise
Given the severity of the condition and neurological compromise, the patient was advised L3–L4 lumbar decompression with L4–L5 transforaminal lumbar interbody fusion (TLIF) and L3–S1 instrumented fixation. This advanced surgical approach aimed to decompress the affected nerves, eradicate infection, and stabilise the spine.
Post Surgery
The surgery was performed successfully with meticulous precision. Post-operatively, the patient showed significant improvement in pain and gradual neurological recovery. His hospital course remained stable, and with comprehensive post-surgical care and rehabilitation, he regained confidence in mobility.
Recovery Time
After a structured recovery period, Mr Saah was discharged in stable condition, marking a successful outcome of complex spine infection management through advanced surgical intervention.
This case underscores the effectiveness of multilevel lumbar decompression and fusion surgery in India for treating spinal infections like spondylodiscitis, reinforcing Artemis Hospital as a leading centre for advanced spine surgery, infection management, and minimally invasive techniques.