Case ReportsA Case Report of Rapid Aseptic Intervertebral Disc Destruction After Lumbar Microdiscectomy A Case ReportClark, DesRaj M. MD1,a; Fredericks, Donald R. MD1; Wagner, Scott C. MD1Author Information 1Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, Maryland aE-mail address for D.M. Clark: email@example.com Investigation performed at the Walter Reed National Military Medical Center, Bethesda, Maryland Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B160). JBJS Case Connector: July-September 2020 - Volume 10 - Issue 3 - p e19.00566 doi: 10.2106/JBJS.CC.19.00566 Buy Metrics Abstract Case: A previously healthy military recruit underwent routine microdiscectomy after lumbar disc herniation. After a period of improvement, he developed recurrent pain without repeat injury. Advanced imaging showing loss of marrow signal, and disc height was concerning for discitis. Inflammatory markers remained negative. Conservative treatment without antibiotics led to symptom resolution. Conclusion: This case demonstrates an unusual complication after lumbar microdiscectomy in a healthy individual. The recurrent symptoms and imaging changes were likely secondary to aseptic discitis and rapid degeneration rather than infection. A stepwise approach is critical for determining the cause of pain exacerbation after spinal procedures. Written work prepared by employees of the Federal Government as part of their official duties is, under the U.S. Copyright Act, a “work of the United States Government” for which copyright protection under Title 17 of the United States Code is not available. As such, copyright does not extend to the contributions of employees of the Federal Government.