MEET DR. NITISH AGARWAL BEST SPINE SURGEON IN PUNE, AUNDH, SHIVAJI NAGAR, DECCAN, KOTHRUD, ERANDWANE, DATTAWADI, SWARGATE, FC ROAD, KARVE ROAD POST OPERATIVE MRI SHOWING COMPLETE REGRESSION OF PREVIOUSLY MENTIONED PERIPHERALLY ENHANCING LIQUEFIED COLLECTION IN PRE VERTEBRAL SPACE EXTENDING FROM D1 TO D 4 LEVELS COMPLETE REGRESSION OF COLLECTION SEEN IN PARA VERTEBRAL REGION COMPLETE REGRESSION OF EPIDURAL COLLECTION RESIDUAL COLLAPSE OF D 3 VERTEBRA COLLAPSE WITHOUT RETROPULSION NO SPINAL CORD COMPRESSION TB SPINE / TUBERCULOSIS IN SPINE / KOCH DISEASE / INFECTION IN SPINE – COMPLAINTS :- A PATIENT CAME WITH COMPLAINTS OF WALKING IMBALANCE WITH DIFFICULTY IN STANDING OR WALKING PROPERLY. SEVERE UPPER BACK PAIN. BILATERAL LEG TINGLING, STIFFNESS AND HEAVINESS DIAGNOSIS :- D3 VERTEBRAL DAMAGE WITH EPIDURAL ABSCESS WITH SEVERE COMPRESSION OF SPINAL CORD. SURGERY :- D1 TO D5 SPINAL FIXATION SURGERY WITH TITANIUM SCREWS AND RODS WITH SPINAL CORD DECOMPRESSION WITH EPIDURAL ABSCESS DRAINAGE AND BIOPSY OF DEAD TISSUE AND SAMPLE IS SENT TO LABORATORY FOR EXAMINATION. RECOVERY :- THE PATIENT STARTED WALKING FROM DAY 1 AFTER THE SURGERY HIS LEG PAIN , TINGLING , STIFFNESS REDUCED ON BIOPSY REPORT TUBERCULOSIS INFECTION IS DIAGNOSED, SO WE STARTED MEDICINE FOR TB FOR 1 YEAR. AFTER REGULAR EXERCISES AND PHYSIOTHERAPY NOW HE CAN WALK PAIN FREE AND WITHOUT ANY SUPPORT