Table 1.
Demographic Data.
Fig 1.
Illustration of surgical management for tuberculous spondylitis through posterior approach.
The shaded parts are considered surgically resectable (a,b). C is the removal of the side of the facet joints, transverse joints and ribs, bone graft in lesions after the debridement.
Table 2.
Perioperative Outcomes and Clinical Results.
Table 3.
Neurologic recovery according to Frankel scoring system (Group A and Group B).
Fig 2.
53-year-old female with T8–9 tuberculosis underwent thoracoscopic-assisted anterior debridement, iliac bone autograft and instrumentation.
Note the marked improvement of spinal stability and solid bone fusion when comparing her preoperative and latest films. a, b AP X-ray shows paraspinal shadow and lateral plain radiograph demonstrates a narrowed disc space at T8–9 and bone destruction of the T8 and T9 vertebral bodies. c MRI demonstrates vertebral destruction, paravertebral and epidural abscess with compression of the spinal cord. d, e X-ray films show graft union without fixation failure at the final follow-up of 5 years. f, g Three-dimensional computer tomography scan in coronal and sagittal planes demonstrates a solid fusion. h Postoperative clinical photograph demonstrates the size of the skin incision.
Fig 3.
47-year-old man with T4–5 tuberculosis, underwent transforaminal debridement, interbody fusion (iliac bone autograft) and posterior instrumentation.
(a) Preoperative X-ray films of thoracic spine show paraspinal shadow (left) and a narrowed disc space at T4–5. (b) Coronal and sagital CT scans demonstrate tuberculosis cavities and parevertebral abscess at T4–5. (c) T2W sagittal MRI showing enhancements of the inflammatory vertebral bodies and tissue. (d,e) X-ray films and CT of thoracic spine show grafts union at the final follow-up of 42 months.
Table 4.
Radiographic results (Group A and Group B).
Table 5.
Summary of operative complications between group A and group B.