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Fusion of the Spine for Tuberculosis in Children A Long-Range Follow-up Study
MATHER CLEVELAND; DAVID M. BOSWORTH; J. WILLIAM FIELDING; PANAYIOTIS SMYRNIS
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Orthopaedic Services of Sea View and St. Luke's Hospitals, New York
1958 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1958; 40:91-106 
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Abstract

1. Spine-fusion masses grow and of themselves cause minimal deformity.

2. In a child with tuberculous spondylitis, spine fusion can decrease or may prevent collapse of diseased vertebral bodies.

3. No residual pelvic defects were noted in these adults as a result of removal of iliac grafts from them as children.

4. Development of kyphosis may at times be the result of fatigue-stress fracture of the fusiomi mass with spontaneous repair occurring unnoted.

5. Paraplegia in a child, due to vertebral tuberculosis, demands spine fusion, not laminectomy or evacuation of abscess.

6. Tuberculosis of the spine in a child, adequately treated by spine fusion, can result in an excellent physical status in the adult (Fig. 25).

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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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