ReviewEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2016
Spinal tuberculosis, natural history of disease, classifications and principles of management with historical perspective.
Review in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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Who cites it
34 citing papers in PubMed, 77 citations in OpenAlex.
- Recommendations of the International Consensus Meeting (ICM) 2025 on Spinal Infections: Part B Tubercular Spondylodiscitis.Global spine journal · 2026Article
- Uncommon Sacroiliac and Presacral Tuberculosis Mimicking Chronic Low Back Pain in a Young Female.Annals of African medicine · 2026Article
- Development and internal validation of a frailty risk stratification model for older patients with spinal tuberculosis.Frontiers in medicine · 2026Article
- Clinical outcomes of individualized surgical pathways in elderly patients with spinal tuberculosis: a retrospective cohort study in eastern China.Frontiers in medicine · 2026Article
- Risk factors for impaired surgical wound healing after spinal tuberculosis surgery: a retrospective comparative trial.Frontiers in surgery · 2026Article
- Bone and Joint Tuberculosis: The Experience From a Tuberculosis Department in Northern Greece.Case reports in infectious diseases · 2025Article
- Tuberculous spondylodiscitis with ureteral involvement: a rare case report.American journal of clinical and experimental urology · 2025Article
- Multiloculated thoracoabdominal tuberculosis: A radiological presentation of disseminated tuberculosis.Radiology case reports · 2024Article
- Article
- Comprehensive Spinal Tuberculosis Score: A Clinical Guide for the Management of Thoracolumbar Spinal Tuberculosis.Asian spine journal · 2024Article
- Trends and prospects in spinal tuberculosis research: a future-oriented approach.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Article
- Factors Affecting Neurological Deficits in Thoracic Tuberculous Spondylodiscitis.International journal of spine surgery · 2023Article
- [Spondylodiscitis].Orthopadie (Heidelberg, Germany) · 2023Article
- Tuberculosis of the spine.World journal of orthopedics · 2023Review
- 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
- Surgical management and clinical outcome of cervical, thoracic and thoracolumbar spinal tuberculosis in a middle-European adult population.Scientific reports · 2023Article
- Article
- A high proportion of caseous necrosis, abscess, and granulation tissue formation in spinal tuberculosis.Frontiers in microbiology · 2023Article
- Is 6 Months of Antitubercular Chemotherapy as Effective as More Than 6 Months Regimen in Spinal Tuberculosis? A Systematic Review and Meta-analysis.Asian spine journal · 2022Article
- Comparative efficacy of traditional conservative treatment and CT-guided local chemotherapy for mild spinal tuberculosis.BMC musculoskeletal disorders · 2022Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo describe the natural history spinal tuberculosis, classifications and principles of management based upon the grading of the neurological deficit.
methodsReview of literature was conducted with the aim to provide the clinico-radiological correlation of the natural history of spinal tuberculosis in different stages. Management strategy is developed based upon the severity of the neurological deficit.
resultsA five stage natural history of spinal tuberculosis is described. Stage of neurological involvement is further divided into 4 grades, predominantly on the basis of progressively increasing motor deficits as negligible, mild, moderate and severe with sensory and autonomic dysfunctions. Suitable principles of management with role of rest, braces, chemotherapy and surgery are discussed. Neurological deficit grading based management is developed. Grade 1 and 2, conservative treatment, grade 3, gray zone and grade 4, operative treatment is emphasized.
conclusionThe five stages of natural history of tuberculosis of spine have been developed from the clinician's point of view. Management of tuberculosis of spine, in general, it is no different than management of soft tissue tuberculosis, in HIV negative or positive patients. Role of surgery is very limited. Management of tubercular paraplegia, based upon the grading of paraplegia is simple, logical, efficient and easy to understand and remember by any orthopedic surgeon.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.