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The role of posterior surgery in spinal tuberculosis

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ArgoSpine News & Journal

Abstract

Debridement, decompression and fusion for tuberculous affliction of the dorsal or lumbar spine has traditionally been performed using either an anterior approach alone or a combined anterior plus posterior approach. To overcome the morbidity associated with an anterior exposure, posterolateral approaches such as the transpedicular, the costotransversectomy and the lateral extracavitary approach to the dorsal spine and the trans-foraminal approach in the lumbar spine have been advocated for treating patients with spinal trauma and tumors. Since May 2002, we have successfully used posterolateral approaches to perform decompression, anterior reconstruction and posterior stabilization in patients with spinal tuberculosis through a single incision and with limited morbidity.

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Correspondence to Gautam Zaveri.

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Having completed his orthopaedic residency in 1995 from the Lokmanya Tilak Municipal Medical College, Mumbai, Dr Gautam Zaveri was appointed as a lecturer and junior consultant in the Depar tment of Orthopaedics until 1998. Between 1998 and 2002, he obtained his training in spine surgery whilst working as a clinical spine fellow first in Canada and then in England. In 2000, he was awarded the International Spine Fellowship by the International Society for Study of the Lumbar Spine.

Dr Zaveri is currently an Associate Professor of Orthopaedics with the DY Patil Medical College, Mumbai and works as a Consultant Spine Surgeon at the Jaslok Hospital and Research Centre, Mumbai. His field of interest is complex spinal reconstruction for spinal tuberculosis, tumours and fractures as well as revision spine surgery.

Over the years, Dr Zaveri has contributed many original ar ticles to Indian and international journals. He has also written chapters in The Textbook of Spinal Surgery published by the Association of Spinal Surgeons of India. He is a much sought after speaker at spinal conferences, symposia and workshops. He has served as the member in charge of education on the AOSpine council in India. In 2006, he received an award for being the Best Asia Pacific AOSpine faculty.

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Zaveri, G. The role of posterior surgery in spinal tuberculosis. ArgoSpine News J 23, 112–119 (2011). https://doi.org/10.1007/s12240-011-0022-x

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