{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T12:27:55Z","timestamp":1786969675453,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Post-tuberculous spinal deformity remains an important cause of chronic morbidity following healed spinal tuberculosis, particularly in low- and middle-income countries. Residual kyphosis may result in persistent pain, sagittal imbalance, cosmetic deformity and late neurological deterioration. Surgical correction is technically demanding because of rigid deformity and compromised bone quality, yet it may offer meaningful functional recovery when appropriately indicated. We report a case series of three adult patients with post-tuberculous spinal deformity managed surgically at a Nigerian tertiary orthopaedic centre. All patients underwent single-stage posterior-only decompression, deformity correction and pedicle screw\u2013rod instrumentation. Anterior column reconstruction was performed in all cases using either an expandable titanium cage or a fibular strut graft. Clinical, radiological and neurological outcomes were assessed during follow-up. The patients were aged 24\u201333 years (median 32 years), with follow-up ranging from 26 to 60 months (median 36 months). Two patients presented with thoracic kyphotic deformity (90\u00b0 and 92\u00b0), while one had lumbar involvement (20\u00b0). Postoperatively, thoracic kyphosis improved to 25\u00b0 and 45\u00b0, and lumbar alignment was restored to physiological lordosis. The median angular correction achieved was 47\u00b0 (range 40\u00b0\u201365\u00b0). One patient presented with paraparesis (ASIA D) and achieved complete neurological recovery, while the remaining two maintained intact neurology (ASIA E). All patients demonstrated radiological fusion and maintained deformity correction at the latest follow-up, with no implant-related complications. Single-stage posterior-only surgical correction of post-tuberculous spinal deformity in adults can achieve satisfactory deformity correction, solid fusion and neurological recovery in carefully selected patients.<\/jats:p>","DOI":"10.4103\/npmj.npmj_650_25","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T04:00:33Z","timestamp":1786939233000},"page":"678-682","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Management of Post-tuberculous Spinal Deformity in Adults: A Case Series Report from a Nigerian Tertiary Orthopaedic Centre"],"prefix":"10.4103","volume":"33","author":[{"given":"Adetunji M.","family":"Toluse","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery and Trauma, National Orthopaedic Hospital, Lagos, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayode O.","family":"Odejobi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Trauma, National Orthopaedic Hospital, Lagos, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taofeek O.","family":"Adeyemi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Trauma, National Orthopaedic Hospital, Lagos, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"R1-20260817","doi-asserted-by":"crossref","first-page":"11","DOI":"10.5194\/jbji-8-11-2023","article-title":"Clinical-epidemiological profile of confirmed cases of osteoarticular tuberculosis","volume":"8","author":"Panico","year":"2023","journal-title":"J Bone Jt Infect"},{"key":"R2-20260817","doi-asserted-by":"crossref","first-page":"405","DOI":"10.4184\/asj.2017.11.3.405","article-title":"Epidemiology of musculoskeletal tuberculosis in an area with high disease prevalence","volume":"11","author":"Held","year":"2017","journal-title":"Asian Spine J"},{"key":"R3-20260817","doi-asserted-by":"crossref","first-page":"e26","DOI":"10.1017\/S095026882400150X","article-title":"Epidemiological and osteoarticular involvement sites' characteristics of multiple osteoarticular tuberculosis: A scoping review","volume":"153","author":"Zhou","year":"2025","journal-title":"Epidemiol Infect"},{"key":"R4-20260817","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1007\/BF00181121","article-title":"Severe kyphotic deformity in tuberculosis of the spine","volume":"19","author":"Tuli","year":"1995","journal-title":"Int Orthop"},{"key":"R5-20260817","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1007\/s00264-011-1469-2","article-title":"Kyphotic deformity in spinal tuberculosis and its management","volume":"36","author":"Rajasekaran","year":"2012","journal-title":"Int Orthop"},{"key":"R6-20260817","first-page":"e34685","article-title":"Posterior-only approach for the correction of severe post-tubercular kyphosis","volume":"15","author":"Toluse","year":"2023","journal-title":"Cureus"},{"key":"R7-20260817","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1186\/s40001-024-02198-4","article-title":"Surgical treatment of spinal tuberculosis: An updated review","volume":"29","author":"Gan","year":"2024","journal-title":"Eur J Med Res"},{"key":"R8-20260817","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1186\/s13018-020-01616-7","article-title":"Posterior-only versus combined posterior-anterior approaches in treating lumbar and lumbosacral spinal tuberculosis: A retrospective study with minimum 7-year follow-up","volume":"15","author":"Liu","year":"2020","journal-title":"J Orthop Surg Res"},{"key":"R9-20260817","doi-asserted-by":"crossref","first-page":"2","DOI":"10.25259\/Joasp_29_23","article-title":"Tuberculous spine infection and metal instrumentation","volume":"12","author":"Ghate","year":"2025","journal-title":"J Orthop Spine"},{"key":"R10-20260817","doi-asserted-by":"crossref","first-page":"435","DOI":"10.4184\/asj.2014.8.4.435","article-title":"Surgery-related complications and sequelae in management of tuberculosis of spine","volume":"8","author":"Moon","year":"2014","journal-title":"Asian Spine J"}],"container-title":["Nigerian Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/npmj.npmj_650_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T12:02:16Z","timestamp":1786968136000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/npmj.npmj_650_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,17]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/npmj.npmj_650_25","relation":{},"ISSN":["1117-1936","2468-6875"],"issn-type":[{"value":"1117-1936","type":"print"},{"value":"2468-6875","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,17]]},"assertion":[{"value":"2025-12-03","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}