1. A procedure for construction of a new lateral spinal support by autogenous grafts has been recorded.
2. A circumduction fusion, when solid, has been shown to be effective in immobilizing the spine and arresting disease.
3. It is again emphasized that in patients with paraplegia due to tuberculosis of the spine, the treatment of choice is fusion across the involved area.
4. Wide laminectomy and facetectomy can produce a severely disabling condition and require lateral circumduction fusion to re-stabilize the spine.
5. Construction of a circumduction fusion may require numerous procedures to secure continuity.
6. Circumduction fusion can succeed, even when covering long areas of the spine, if repeated surgical procedures are accepted by the patient.