Vertebral osteomyelitis as a complication of Crohns disease.
Pande KC. Prince HG. Kerslake RW.
Centre for Spinal Studies and Surgery, University Hospital, Queen's Medical Centre, Nottingham, UK.
Vertebral osteomyelitis arising from an enteric fistula in patients with inflammatory bowel disease is rare. We report on a patient with Crohn's disease who developed an enteric fistula, resulting in a presacral abscess and vertebral osteomyelitis involving the L4 and L5 vertebral bodies and related disc spaces. This was managed by a defunctioning colostomy with drainage of the pre-sacral abscess. The vertebral lesion was successfully managed non-operatively.