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Kaustubh Ahuja Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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Syed Ifthekar Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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Samarth Mittal Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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Gagandeep Yadav Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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Bhaskar Sarkar Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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Pankaj Kandwal Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Uttarakhand, India

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an absolute indication for surgical management in tuberculosis of the spine (TB spine). 1 , 2 Over the years, a number of authors have used different working definitions for spinal instability in TB. However, no clear consensus exists to date

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Andreas F. Mavrogenis Attikon General University Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Panayiotis D. Megaloikonomos Attikon General University Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Vasileios G. Igoumenou Attikon General University Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Georgios N. Panagopoulos Attikon General University Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Efthymia Giannitsioti Attikon General University Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Antonios Papadopoulos Attikon General University Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Panayiotis J. Papagelopoulos Attikon General University Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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the Iron Age. 5 Spinal surgery was initially developed as an effort to treat vertebral infection. The first spinal fusion was performed in 1911 by Hibbs, on a patient with spinal tuberculosis (TB) in an attempt to prevent disease progression. 6

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Spyridon Sioutis First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Lampros Reppas First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Achilles Bekos First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Eleftheria Soulioti Second Department of Anaesthesiology, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Theodosis Saranteas Second Department of Anaesthesiology, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Dimitrios Koulalis First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Georgios Sapkas First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Andreas F. Mavrogenis First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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specific findings consistent with spinal echinococcosis; misdiagnosis is common with radiographs only and the lesions can be confused with tumours such as metastases and chondroblastoma, or other infections such as tuberculosis, spinal or paraspinal abscess

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Rory D. S. Gibson Aberdeen Royal Infirmary, Aberdeen, UK

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Ralf Wagner Ligamenta Spine Centre, Frankfurt am Main, Germany

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J. N. Alastair Gibson The Royal College of Surgeons of Edinburgh, Edinburgh, UK

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a new treatment for thoracic spinal stenosis . Int Orthop 2019 ; 43 : 825 – 832 . 41. Yang J-S Chu L Deng R et al. Treatment of single level thoracic tuberculosis by percutaneous endoscopic debridement and

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G. Ulrich Exner Orthopaedie Zentrum Zuerich (ozz), Seestrasse 259, CH 8038 Zurich, Switzerland

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Michael O. Kurrer Gemeinschaftspraxis fuer Pathologie, Caecilienstrasse 3, CH 8032 Zurich, Switzerland

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Nadja Mamisch-Saupe Klinik Hirslanden, Department of Musculoskeletal Radiology, Witellikerstrasse 40, 8032 Zurich, Switzerland

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Stephen R. Cannon BMI The Clementine Churchill Hospital, Sudbury Hill, Harrow, Middlesex HA1 3RX, Great Britain

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metabolic aberration? 16 Could the process be an infection, especially in spinal lesions where tuberculosis can be more common? Has the lesion a haematogenous origin, e.g. chloroma, lymphoma, plasmocytoma? In such cases, immune

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Christof Berberich Department of Medical Training and Education, Heraeus Medical GmbH, Wehrheim, Germany

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Pablo Sanz-Ruiz Department of Traumatology and Orthopaedic Surgery, General University Hospital Gregorio Marañón, Madrid, Spain

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synthetic substitutes. Even local intra-wound administration of antibiotic powder has been described as a method capable of reducing the rate of SSI in spinal surgery. 18 Because of their potential to provide high intra-wound concentrations without

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John Edwin Kings College Hospital, London, UK

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Shahbaz Ahmed Pulvertaft Hand Centre, Royal Derby Hospital, Derby, UK

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Shobhit Verma Kings College Hospital, London, UK

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Graham Tytherleigh-Strong Cambridge University Hospitals, UK

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Karthik Karuppaiah Kings College Hospital, London, UK

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Joydeep Sinha Kings College Hospital, London, UK

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syphilis and leprosy. 84 Tuberculosis needs to be borne in mind as a differential diagnosis for patients travelling to endemic areas. A high index of suspicion and appropriate culture of aspirate/tissue sample with imaging gives the diagnosis. An

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Marco Gupton MountainView Regional Medical Center, Orthopaedic Surgery Residency, Las Cruces, New Mexico, USA

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Jessica Burns Department of Orthopaedic Surgery, Phoenix Children’s Hospital, Phoenix, Arizona, USA

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bacteria, viruses, parasites, fungi, and human genetic material from just one sample, possibly noninvasively. There is promising data on various tissues, such as synovial fluid, blood, and cerebral spinal fluid ( 5 , 9 , 32 , 41 , 42 , 43 , 44 , 45

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Michał Górecki Department of Traumatology, Orthopaedics and Hand Surgery, Poznań University of Medical Sciences, Poznań, Poland

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Piotr Czarnecki Department of Traumatology, Orthopaedics and Hand Surgery, Poznań University of Medical Sciences, Poznań, Poland

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destruction resulting from tuberculosis, and recurrent dislocations of the shoulder. In recent years, surgical indications for shoulder arthrodesis have been continuously decreasing due to the development of shoulder arthroplasty, for which results have proved

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James Wee Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, 308433, Singapore

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Gowreeson Thevendran Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, 308433, Singapore

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shaping or administration by injection. Historically, it was first used to address bone defects in patients with tuberculosis; subsequently, it was noted that CS could be resorbed and replaced by new bone. 32 In addition to its osteo

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