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. 2017 Jun 30;96(26):e7103. doi: 10.1097/MD.0000000000007103

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Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc.

This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0

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A 28-year-old woman underwent anterior debridement and reconstruction with anatomical screw-plate fixation for L5–S2 TB in our hospital. Preoperative, posteroanterior (A) and lateral (B) plain radiographs showed the L5–S2 vertebral damage with a narrowed intervertebral space and a decreased lumbosacral angle. The sagittal (C) and coronal (D) MRI views showed bony destruction from the L5 to S2 vertebrae, with prevertebral and paravertebral abscesses compressing the neural elements. Anteroposterior (E) and lateral (F) immediate postoperative radiographs showed the anterior column reconstruction with two 5.6-cm-long anatomical screw-plates across L5–S2.