Procedurally, average operation time and mean length of hospitalization were shorter, and mean blood loss was lower ingroup A (p 0.05).CONCLUSION: Combined anterior-posterior surgery may not be required for treating vertebral tuberculosis as posterior surgeryalone appears to be sufficient.
📌 3 Key Takeaways
🎯
Objective & Hypothesis:AIM: To compare posterior surgery alone versus combined anterior and posterior surgery for the management of spinal tuberculosis.MATERIAL and METHODS: Data from 31 consecutive patients who underwent surgery for spinal tuberculosis were analyzedretrospectively.
📊
Key Findings & Data:Patients were divided into two groups as group A (posterior surgery alone) or group B (combined anterior andposterior surgery), and groups were compared in terms of invasiveness of the procedure, spinal deformity, fusion, neurologicalstatus, and postoperative complications.RESULTS: Group A included 16 patients (mean age: 56 years, range: 29–75) with a mean follow-up period of 29 months (range12–60) while group B included 15 patients (mean age: 60 years, range: 35–73) with a mean follow-up period of 28 months (range12–60).
💡
Conclusion & Impact:Procedurally, average operation time and mean length of hospitalization were shorter, and mean blood loss was lower ingroup A (p 0.05).CONCLUSION: Combined anterior-posterior surgery may not be required for treating vertebral tuberculosis as posterior surgeryalone appears to be sufficient.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters
Özet
AIM: To compare posterior surgery alone versus combined anterior and posterior surgery for the management of spinal tuberculosis.MATERIAL and METHODS: Data from 31 consecutive patients who underwent surgery for spinal tuberculosis were analyzedretrospectively. Patients were divided into two groups as group A (posterior surgery alone) or group B (combined anterior andposterior surgery), and groups were compared in terms of invasiveness of the procedure, spinal deformity, fusion, neurologicalstatus, and postoperative complications.RESULTS: Group A included 16 patients (mean age: 56 years, range: 29–75) with a mean follow-up period of 29 months (range12–60) while group B included 15 patients (mean age: 60 years, range: 35–73) with a mean follow-up period of 28 months (range12–60). Procedurally, average operation time and mean length of hospitalization were shorter, and mean blood loss was lower ingroup A (p 0.05).CONCLUSION: Combined anterior-posterior surgery may not be required for treating vertebral tuberculosis as posterior surgeryalone appears to be sufficient.
🔖
Cite This Article
DEMİREL, M., AKGÜL, T., PEHLİVANOĞLU, T., KARADEMİR, G., BAYRAM, S., DİKİCİ, F., ŞAR, C. (2019). Posterior Approach Alone Versus Combined Anterior and Posterior Approach in the Management of Vertebral Tuberculosis. Turkish Neurosurgery, Cilt: 29 - Sayı: 5, 724–733. https://ajindex.com/articles/404406
Abdul-Jabbar A, Takemoto S, Weber MH, Hu SS, Mummaneni PV, Deviren V, Ames CP, Chou D, Weinstein PR, Burch S: Surgical site infection in spinal surgery: Description of surgical and patientbased risk factors for postoperative infection using administrative claims data. Spine 37:1340-1345, 2012 2. Acikgoz B, Ozcan O, Belen D, Erbengi A, Ozgen T: Surgery for progressive Pott’s paraplegia (tuberculous paraplegia). Paraplegia 29:537-541, 1991 3. Campbell PG, Malone J, Yadla S, Maltenfort MG, Harrop JS, Sharan AD, Ratliff JK: Early complications related to approach in thoracic and lumbar spine surgery: A single center prospective study. World Neurosurgery 73:395-401, 2010 4. Chiriano J, Abou-Zamzam AM, Urayeneza O, Zhang WW, Cheng W: The role of the vascular surgeon in anterior retroperitoneal spine exposure: Preservation of open surgical training. Journal of Vascular Surgery 50:148-151, 2009 5. Guven O, Kumano K, Yalcin S, Karahan M, Tsuji S: A single stage posterior approach and rigid fixation for preventing kyphosis in the treatment of spinal tuberculosis. Spine 19:1039-1043, 1994 6. Guzey FK, Emel E, Bas NS, Hacisalihoglu S, Seyithanoglu H, Karacor SE, Ozkan N, Alatas I, Sel B: Thoracic and lumbar tuberculous spondylitis treated by posterior debridement, graft placement, and instrumentation: A retrospective analysis in 19 cases. J Neurosurg Spine 3:450-458, 2005 7. Hodgson A, Stock FE: Anterior spinal fusion a preliminary communication on the radical treatment of Pott’s disease and Pott’s paraplegia. British Journal of Surgery 44:266-275, 1956 8. Hsu L, Leong J: Tuberculosis of the lower cervical spine (C2 to C7). A report on 40 cases. Bone & Joint Journal 66:1-5, 1984 9. Kochi A: The global tuberculosis situation and the new control strategy of the World Health Organization. Tubercle 72:1-6, 1991 10. Konstam P, Blesovsky A: The ambulant treatment of spinal tuberculosis. British Journal of Surgery 50:26-38, 1962 11. Korkusuz F, Islam C, Korkusuz Z: Prevention of postoperative late kyphosis in Pott’s disease by anterior decompression and intervertebral grafting. World Journal of Surgery 21:524-528, 1997 12. Kumar K: The penetration of drugs into the lesions of spinal tuberculosis. International Orthopaedics 16:67-68, 1992 13. Lee CK, Vessa P, Lee JK: Chronic disabling low back pain syndrome caused by internal disc derangements: The results of disc excision and posterior lumbar interbody fusion. Spine 20:356-360, 1995 14. Mak KC, Cheung KM: Surgical treatme