Fig. 3

The same 40-year-old female as shown in Fig. 2. Samples confirmed a fungal spondylodiscitis (case 1) using intraoperative CT-Guide(a). At five months after the minimally invasive debridement and irrigation, MRI showed that the L2-5 infections had resolved but the infection had progressed to the L1-2、T12-L1 and T11-12 levels (b and c). Postoperative minimally invasive debridement and irrigation picture(d). At the 48-month follow-up, MRI (e) and (f) showed all the infections had resolved and no further progression was observed; T1-weighted image showed increased signal with the extensive additional enhancement of the fat signals of vertebral bodies. The endplates were grossly deformed. T1 and T2-weighted show a narrow line at the site of the discs