Review Article: Surgical Approaches for Correction of Post-Tubercular Kyphosis

This study reviewed the literature regarding the pros and cons of various surgical approaches (anterior, anterolateral, combined, and posterior) for correction of post-tubercular kyphosis. The anterior and anterolateral approaches are effective in improving neurological deficit but not in correcting kyphosis. The combined anterior and posterior approach and the posterior approach combined with 3-column osteotomy achieve good neurological improvement and kyphosis correction. The latter is superior when expertise and facilities are available.

[1]  H. Zeng,et al.  Thoracolumbar spinal tuberculosis in children with severe post-tubercular kyphotic deformities treated by single-stage closing–opening wedge osteotomy: preliminary report a 4-year follow-up of 12 patients , 2014, Child's Nervous System.

[2]  Munish C. Gupta,et al.  Late treatment of tuberculosis-associated kyphosis: literature review and experience from a SRS-GOP site , 2013, European Spine Journal.

[3]  K. Cheung,et al.  Surgical treatment of acute TB spondylitis: indications and outcomes , 2012, European Spine Journal.

[4]  Zhongqiang Chen,et al.  Clinical and radiographic evaluation of posterior surgical correction for the treatment of moderate to severe post-tuberculosis kyphosis in 36 cases with a minimum 2-year follow-up. , 2012, Journal of neurosurgery. Spine.

[5]  Saumyajit Basu,et al.  Neurological recovery in patients of old healed tubercular rigid kyphosis with myelopathy treated with transpedicular decancellation osteotomy , 2012, European Spine Journal.

[6]  L. Lenke,et al.  Vertebral column decancellation for the management of sharp angular spinal deformity , 2011, European Spine Journal.

[7]  J. O’Brien The use of spinal osteotomy in the treatment of spinal deformity. , 2011, Orthopedics.

[8]  A. Jain Tuberculosis of the spine: a fresh look at an old disease. , 2010, The Journal of bone and joint surgery. British volume.

[9]  A. Jain,et al.  Kyphosis in spinal tuberculosis – Prevention and correction , 2010, Indian journal of orthopaedics.

[10]  M. Moon,et al.  Surgical management of severe rigid tuberculous kyphosis of dorsolumbar spine , 2010, International Orthopaedics.

[11]  K. Wood,et al.  Posterior-only multilevel modified vertebral column resection for extremely severe Pott’s kyphotic deformity , 2009, European Spine Journal.

[12]  K. Luk,et al.  Direct Internal Kyphectomy for Severe Angular Tuberculous Kyphosis , 2007, Clinical orthopaedics and related research.

[13]  S. Dhar,et al.  Pedicle subtraction osteotomy for rigid post-tuberculous kyphosis. , 2006, The Journal of bone and joint surgery. British volume.

[14]  Jung-Hee Lee,et al.  Posterior Vertebral Column Resection in Fixed Lumbosacral Deformity , 2005, Spine.

[15]  S. Tuli,et al.  Severe kyphotic deformity in tuberculosis of the spine , 2004, International Orthopaedics.

[16]  N. Bilsel,et al.  Late onset Pott's paraplegia , 2000, Spinal Cord.

[17]  J. Leong,et al.  Pott's paraplegia of late onset. The cause of compression and results after anterior decompression. , 1988, The Journal of bone and joint surgery. British volume.

[18]  T. Shanmugasundaram,et al.  Prediction of the angle of gibbus deformity in tuberculosis of the spine. , 1987, The Journal of bone and joint surgery. American volume.

[19]  E. Thomasen Vertebral osteotomy for correction of kyphosis in ankylosing spondylitis. , 1985, Clinical orthopaedics and related research.

[20]  J. O'Brien,et al.  Tuberculous kyphosis: correction with spinal osteotomy, halo-pelvic distraction, and anterior and posterior fusion. , 1974, The Journal of bone and joint surgery. American volume.

[21]  D. Griffiths Pott's Paraplegia , 1968 .

[22]  A. Hodgson,et al.  Pott's paraplegia: A classification based upon the living pathology , 1967, Paraplegia.

[23]  A. Hodgson,et al.  Anterior spinal fusion a preliminary communication on the radical treatment of pott's disease and pott's paraplegia , 1956, The British journal of surgery.

[24]  A. Michele,et al.  Surgical approach to the vertebral body. , 1949, The Journal of bone and joint surgery. American volume.