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Fig. 1 | Journal of Orthopaedic Surgery and Research

Fig. 1

From: The outcomes of chemotherapy only treatment on mild spinal tuberculosis

Fig. 1

These are radiology data for a 44-year-old female with mild spinal tuberculosis at L1/L2 and L4/L5. The patient was treated with standard first-line antituberculosis drugs for 18 months. a The lateral view of X-ray shows that, before the treatment, there was bone destruction between the L1/L2 and L4/L5 vertebral (arrow) and the Cobb angles (yellow lines) for the local kyphosis were 20.3° and 10.5°, respectively. The anterior and posterior views show significant intervertebral space reduction (arrow) of L1/L2 and L4/L5. b The CT images before the treatment show bone destruction and intervertebral space reduction (arrows) at L1/L2 and L4/L5 levels, and the Cobb angles (yellow lines) of kyphosis were 22.6° and 8.5°, respectively. c The MRI images before the treatment show significant edema and absence of normal intervertebral signal at L1/L2 and L4/L5 level (arrows), but there is no compression on the spinal cord or nerve roots. d The anterior posterior and lateral views of X-ray show that, after 18 months of standard chemotherapy of first-line drugs, there is no progression of bone destruction or vertebral collapse, and there is formation of bonny bridging (arrows) between the L1 and L2 vertebra, which indicated possible simultaneous spinal fusion. The Cobb angles of local kyphosis (yellow lines) were 20.8° and 11.3°, respectively. e Two years after the 18-month standard chemotherapy treatment, the CT images show solid fusion at the L1/L2 and l4/L5 levels, and the Cobb angles of local kyphosis (yellow lines) were 19.8°and 9.8°, respectively. There was no significant progression of local kyphosis compared to those of pretreatment

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