Abstract
Surgical management of the TB spine is the cornerstone to restore the spine alignment and stability, especially in failed medical management and advance disease. Surgery can be done from the front or the back.
We present in this chapter a literature review of the posterior approach for TB spine, looking for the indications, contraindications, reported outcome, and step by step, our preferred surgical approach.
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References
Moon M-S. Tuberculosis of spine: current views in diagnosis and management. Asian Spine J. 2014;8(1):97.
Wang Z, Ge Z, Jin W, Qiao Y, Ding H, Zhao H, et al. Treatment of spinal tuberculosis with ultrashort-course chemotherapy in conjunction with partial excision of pathologic vertebrae. Spine J. 2007;7(6):671–81.
Hodgson AR, Stock FE, Fang HSY, Ong GB. Anterior spinal fusion the operative approach and pathological findings in 412 patients with Pott’s disease of the spine. Br J Surg. 1960;48(208):172–8.
Li M, Du J, Meng H, Wang Z, Luo Z. One-stage surgical management for thoracic tuberculosis by anterior debridement, decompression and autogenous rib grafts, and instrumentation. Spine J. 2011;11(8):726–33.
Çavuşoğlu H, Kaya RA, Türkmenoğlu ON, Tuncer C, Çolak İ, Aydin Y. A long-term follow-up study of anterior tibial allografting and instrumentation in the management of thoracolumbar tuberculous spondylitis. J Neurosurg Spine. 2008;8(1):30–8.
Ma YZ, Cui X, Li HW, Chen X, Cai XJ, Bai YB. Outcomes of anterior and posterior instrumentation under different surgical procedures for treating thoracic and lumbar spinal tuberculosis in adults. Int Orthop. 2012;36(2):299–305.
Zhao J, Lian XF, Hou TS, Ma H, Chen ZM. Anterior debridement and bone grafting of spinal tuberculosis with one-stage instrumentation anteriorly or posteriorly. Int Orthop. 2007;31(6):859–63.
Wang B, Lv G, Liu W, Cheng I. Anterior radical debridement and reconstruction using titanium mesh cage for the surgical treatment of thoracic and thoracolumbar spinal tuberculosis: minimum five-year follow-up. Turk Neurosurg. 2011;21(4):575–81.
Zaveri GR, Mehta SS. Surgical treatment of lumbar tuberculous spondylodiscitis by transforaminal lumbar interbody fusion (TLIF) and posterior instrumentation. J Spinal Disord Tech. 2009;22(4):257–62.
Zhang H, Lin M, Ge L, Li J, Wu J, Liu J. Surgical management by one-stage posterior transforaminal lumbar debridement, interbody fusion, and posterior instrumentation for lumbo-sacral tuberculosis in the aged. Arch Orthop Trauma Surg. 2012;132(12):1677–83.
Liu Z, Zhang P, Li W, Xu Z, Wang X. Posterior-only vs. combined posterior-anterior approaches in treating lumbar and lumbosacral spinal tuberculosis: a retrospective study with minimum 7-year follow-up. J Orthop Surg Res [Internet]. 2020. [cited 2021 Jan 14];15(1) https://josr-online.biomedcentral.com/articles/10.1186/s13018-020-01616-7
Pang X, Wu P, Shen X, Li D, Luo C, Wang X. One-stage posterior transforaminal lumbar debridement, 360° interbody fusion, and posterior instrumentation in treating lumbosacral spinal tuberculosis. Arch Orthop Trauma. 2013;133(8):1033–9.
Wang L, Zhang H, Tang M, Gao Q, Zhou Z, Yin X. Comparison of three surgical approaches for thoracic spinal tuberculosis in adult: minimum 5-year follow up. Spine. 2017;42(11):808–17.
Garg B, Upendra B, Jayaswal A, Goswami A, Kandwal P. Anterior versus posterior procedure for surgical treatment of thoracolumbar tuberculosis: a retrospective analysis. Indian J Orthop. 2012;46(2):165.
Liu Z, Liu J, Peng A, Long X, Yang D, Huang S. One-stage posterior debridement and transpedicular screw fixation for treating monosegmental thoracic and lumbar spinal tuberculosis in adults. Sci World J. 2014;2014:1–6.
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Alhammoud, A., Bains, R. (2022). Posterior Approach for TB Spine. In: Dhatt, S.S., Kumar, V. (eds) Tuberculosis of the Spine. Springer, Singapore. https://doi.org/10.1007/978-981-16-9495-0_19
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DOI: https://doi.org/10.1007/978-981-16-9495-0_19
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