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Spinal Tuberculosis Treated Surgically in the Department of Neurosurgery, Almenara Hospital, Lima, Peru

Peru is the second country in South America with the highest rate of tuberculosis, approximately 0.5% were tuberculosis spondylitis, being a variant of high morbidity because of the bone destruction, deformity, and neurological deficit potential. Tuberculosis is a difficult disease to treat and control because of poor access to health services and the delay in diagnosis. The treatment has undergone changes over time, from purely medical treatment or laminectomy to aggressive surgical treatment combined with specific chemotherapy; this marks a trend that is reflected in the way of acting in our service.