Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Print this page Email this page Users Online: 1491
Year : 2016  |  Volume : 5  |  Issue : 2  |  Page : 98-103

Surgical management of tuberculosis of dorsal spine and dorsolumbar spine: Anterior versus posterior approach

Department of Neurosurgery, Andhra Medical College, King George Hospital, Visakhapatnam, Andhra Pradesh, India

Correspondence Address:
Vijaya Prasad Balda
Department of Neurosurgery, Andhra Medical College, King George Hospital, Visakhapatnam, Andhra Pradesh
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2277-8632.185433

Rights and Permissions

Background: Approach for surgical treatment of thoracolumbar tuberculosis (TB) has been controversial. The aim of the study is to compare the clinical, radiological and functional outcome of anterior versus posterior debridement and spinal fixation for the thoracic and thoracolumbar TBs. Materials and Methods: Thirty-four patients with dorsal spinal TB treated surgically between September 2011 and December 2013 were included in this study. Sixteen patients (Group 1) with a mean age of 34.5 years underwent anterior debridement, decompression, and instrumentation by anterior transthoracic, transpleural, and /or retroperitoneal diaphragm cutting approaches. Eighteen patients (Group 2) with a mean age of 35.4 years underwent posterolateral (extracavitary) decompression/posterior decompression and posterior instrumentation. Various parameters such as neurological recovery, improvement of symptoms, and prevention of kyphosis progression were compared. Neurological outcome is assessed by Nurick grade and Frankel grade. The mean follow-up is 12 months. Results: In the present study, 87.5% of the patients had neurological improvement in Group 1 and 61% had improvement in Group 2. In Group 1, 93% of the patients had reduction of back pain and in Group 2, 83% of the patients had reduction of back pain. In follow-up, both groups had equal fusion rates, and no implant displacement on x-rays. Except for one patient in Group 2, no patient had a worsening of deformity. Conclusion: Anterior approach is better for debridement and decompression of the spinal cord and stabilization than posterior approach.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded271    
    Comments [Add]    

Recommend this journal