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. 2019 Dec 6;9:18475. doi: 10.1038/s41598-019-53800-3

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© The Author(s) 2019

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

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The series of radiographs show the radiological changes before and after treatment. This is a 35-year-old male patient, who had L5-S1 spinal TB with pre-sacral abscess, low back pain, and right lower limb radicular pain. The pre-operation MRI (A) shows bone destruction of L5 and S1 and pre-sacral cold abscess formation; The post-operative X-ray (B,C) confirmed the position of plate; The 12 months post-operative X-ray (D,E) shows definite bone fusion, while intervertebral height and the lumbosacral angle maintained satisfactory correction; The 24 months post-operative X-ray (F,G) reveals the ARCH plate still in position and good inter-body fusion of L5-S1, and the intervertebral height and lumbosacral angle were well maintained.