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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 49-year-old male patient, who had pulmonary tuberculosis and L5-S1 spinal TB with pre-sacral abscess and low back pain. The pre-operation X rays (A,B) and CT (D–F) show more than 2/3 bone destruction of L5 and pre-sacral cold abscess formation (C); The patient underwent anterior debridement and titanium strut with bone graft implantation followed by posterior fixation. The post-operative X-ray (G,H) confirmed the position of implants; The 12 months post-operative X-ray (I,J) showed definite bone fusion.