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Year : 2019  |  Volume : 9  |  Issue : 3  |  Page : 89-92

Single-stage debridement, decompression, and circumferential reconstruction for lumbar tuberculous spondylitis: A posterior-only approach

1 Department of Orthopaedic Surgery and Trauma, National Orthopaedic Hospital, Lagos, Nigeria
2 Department of Orthopaedic Surgery and Trauma, University Of Abuja Teaching Hospital, Abuja, Nigeria

Correspondence Address:
Dr. Adetunji M Toluse
Department of Orthopaedic Surgery and Trauma, National Orthopaedic Hospital, PMB - 2009, Igbobi, Yaba, Lagos State
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ais.ais_18_20

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Spinal tuberculosis accounts for almost 50% of all skeletal involvements. Global reconstruction with adequate debridement and decompression, all through posterior approach alone, is one of the surgical treatment modalities in the management of this disease. A 33-year-old female presented to our facility with lumbar tuberculous spondylitis; had 8-month history of low back pain and 4-month history of progressive low back swelling with associated fever, drenching night sweat, and progressive weight loss. She had a single-stage debridement and instrumented fusion via a posterior-only approach. She is ambulant with normal gait and gaining weight by the 1-year follow-up visit, with radiologic evidence of fusion. The posterior-only approach for 360° instrumented fusion is quite rewarding in the operative care of spinal tuberculosis.

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