ArticleMedical principles and practice : international journal of the Kuwait University, Health Science Centre2013
Outcomes of different surgical procedures in the treatment of spinal tuberculosis in adults.
Article in Medical principles and practice : international journal of the Kuwait University, Health Science Centre, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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16 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Comparison of anterior, posterior, and anterior combined with posterior surgical treatment of thoracic and lumbar spinal tuberculosis: a systematic review.The Journal of international medical research · 2020Pooled it
- Trial
- Anterolateral versus Transpedicular Decompression with Posterior Instrumentation: A Randomized Prospective Study in Paradiscal Thoracic Spine Tuberculosis.Spine surgery and related research · 2025Article
- Modified costotransverse approach combined with autologous iliac bone graft fusion and internal fixation in thoracic tuberculosis.Journal of orthopaedic surgery and research · 2025Article
- Clinical efficacy of different open approaches in the surgical treatment of thoracolumbar tuberculosis: a single-center retrospective comparative study.Journal of orthopaedic surgery and research · 2023Article
- Posterior limited unilateral fenestration approach for treating patients with single-segment thoracic and lumbar tuberculosis.Acta neurochirurgica · 2022Article
- A comparative study of one-stage posterior unilateral limited laminectomy vs. bilateral laminectomy debridement and bone grafting fusion combined with internal fixation for the treatment of aged patients with single-segment spinal tuberculosis.BMC musculoskeletal disorders · 2022Review
- Posterior-only debridement, internal fixation, and interbody fusion using titanium mesh in the surgical treatment of thoracolumbar tuberculosis with spinal epidural abscess: a minimum 5-year follow-up.BMC musculoskeletal disorders · 2021Article
- Biomechanical Evaluation and the Assisted 3D Printed Model in the Patient-Specific Preoperative Planning for Thoracic Spinal Tuberculosis: A Finite Element Analysis.Frontiers in bioengineering and biotechnology · 2020Article
- Neurological recovery after early decompression for dorsal Pott's spine.International journal of surgery case reports · 2020Article
- Surgical treatment of thoracolumbar spinal tuberculosis-a multicentre, retrospective, case-control study.Journal of orthopaedic surgery and research · 2019Article
- Observational
- Diagnosis and management of spinal tuberculosis combined with brucellosis: A case report and literature review.Experimental and therapeutic medicine · 2018Article
- Thoracolumbar spinal tuberculosis in children with severe post-tubercular kyphotic deformities treated by single-stage closing-opening wedge osteotomy: preliminary report a 4-year follow-up of 12 patients.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2014Article
- Spinal tuberculosis: which is the best surgical approach?Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2014Article
- Surgical Management of Spinal Tuberculosis - A Retrospective Observational Study from a Tertiary Care Center in Karnataka.Asian journal of neurosurgeryArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate surgical methods and outcomes in the treatment of spinal tuberculosis (TB) in adults. SUBJECTS AND
methodsOne hundred and eighty-one patients (average age 39 years) without multiple-level noncontiguous spinal TB were followed up for 22-72 months. The patients were divided into four groups according to surgical procedure on the basis of the position and extension of the foci: group A (74 cases): anterior radical debridement and strut grafting with instrumentation; group B (83 cases): posterior instrumentation and bone grafting with anterior radical debridement and strut grafting in a single- or two-stage procedure; group C (10 cases): extrapleural anterolateral decompression and strut grafting with posterior instrumentation in thoracic or thoracolumbar spine, and group D (27 cases): single-stage transforaminal decompression and posterior instrumentation and fusion.
resultsThere was a significant decrease (p < 0.05) in mean preoperative (81%) Oswestry's Disability Index. Except for 24 patients with lumbosacral TB who were only instrumented posteriorly, kyphosis degrees were corrected by a mean of 11.5° in the anterior instrumentation group and 12.6° in the posterior instrumentation group (p < 0.01). The correction loss was 6.8° in the anterior instrumentation group and 6.1° in the posterior instrumentation group at the last follow-up (p < 0.01).
conclusionThe four surgical procedures obtained good results for correction and maintenance of the correction, clearance of the foci, decompression of the spinal cord and pain relief in the treatment of spinal TB in adults, providing that the operative indication is accurately identified. However, the posterior approach was superior to anterior instrumentation for correcting deformity and maintaining the correction.
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