{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:36:16Z","timestamp":1787754976620,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 62-year-old man with no comorbidities presented with back and bilateral leg pain and progressive paraplegia that developed over a 1-week period. He had received 2 lumbar epidural steroid injections (LESIs) for lumbar stenosis 39 and 25 days before presentation. Workup revealed osteomyelitis of L4 and L5 with epidural abscesses. He ultimately underwent all-posterior L4 and L5 corpectomy with reconstruction and L1-pelvis arthrodesis, followed by 8 weeks of intravenous antibiotics. His weakness improved, but neurological deficits persisted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This case illustrates a catastrophic complication after LESI, resulting in permanent neurological injury in a patient with no apparent risk factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.19.00028","type":"journal-article","created":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T08:57:46Z","timestamp":1576573066000},"page":"e0028-e0028","source":"Crossref","is-referenced-by-count":4,"title":["Devastating Vertebral Osteomyelitis After Epidural Steroid Injection"],"prefix":"10.2106","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8786-6082","authenticated-orcid":false,"given":"Gilberto O.","family":"Lobaton","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, The Johns Hopkins School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5768-3541","authenticated-orcid":false,"given":"Majd","family":"Marrache","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Johns Hopkins School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2477-8901","authenticated-orcid":false,"given":"Olivia","family":"Petrusky","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Johns Hopkins School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9793-0217","authenticated-orcid":false,"given":"David B.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Johns Hopkins School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9983-3365","authenticated-orcid":false,"given":"Amit","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Johns Hopkins School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"4","key":"bib1-20230811","doi-asserted-by":"crossref","first-page":"E363","DOI":"10.36076\/ppj.2012\/15\/E363","article-title":"The effectiveness of lumbar interlaminar epidural injections in managing chronic low back and lower extremity pain","volume":"15","author":"Benyamin","year":"2012","journal-title":"Pain Physician."},{"issue":"2","key":"bib2-20230811","doi-asserted-by":"crossref","first-page":"301","DOI":"10.3348\/kjr.2018.19.2.301","article-title":"The incidence of various types of systemic reactions related to epidural steroid 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literature","volume":"160","author":"Lener","year":"2018","journal-title":"Acta Neurochir (Wien)."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00028","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:35:45Z","timestamp":1787751345000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00028"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":14,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.19.00028","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019]]}}}