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. 2022 Jul 26;160(6):679–685. doi: 10.1055/a-1851-5509

Fig. 1.

Fig. 1

A 68-year-old man patient with L2, L3 tuberculosis. The instrumentation was performed from the posterior approach without radical debriding of the lesion. a,b Preoperative plain radiograph and 3D CT demonstrating bone erosion at the inferior portion of the L2 and superior portion of the L3 vertebral bodies. c Preoperative T2-weighted MRI revealing spinal cord compression at the level of L2 and L3. Areas of high signal intensity can be seen at the involved bodies, abscess, and the paravertebral soft tissue mass. d Plain radiograph 1 week postoperatively. Only long-segment posterior instrumentation was performed without extensive decompressive surgery. e Postoperative plain radiograph obtained at the 20-month follow-up demonstrating that the transpedicular instrumentation has not loosened, and spontaneous bone fusion was observed in the L2 and L3 vertebral bodies. f Postoperative T2-weighted MRI at the 20-month follow-up examination revealing almost complete disappearance of the paravertebral soft tissue mass and abscess, and normalization of the signal intensity of the L2 and L3 vertebral bodies. Spontaneous bone fusion was observed in the L2 and L3 vertebral bodies.