naa a22 4500 510818072 CHVBK 20180411083517.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s12306-012-0235-y doi (NATIONALLICENCE)springer-10.1007/s12306-012-0235-y Posterior approach in thoracolumbar tuberculosis: a clinical and radiological review of 67 operated cases [Elektronische Daten] [Saurabh Rawall, Kapil Mohan, Abhay Nene] (1) To present the indications of single stage all posterior surgery in thoracic and lumbar tuberculosis. (2) To evaluate the results of single stage all posterior surgery. We analysed 67 patients who underwent single stage all posterior surgery with follow-up of 31.37months. We performed the following operative procedures depending upon level and case requirements. (Group A) Instrumentation alone for instability. (Group B) Transpedicular decompression and instrumentation for neurological compression in thoracic and thoracolumbar spine. (Group C) Transforaminal approach for access to anterior column in lumbar spine in addition to posterior instrumentation. (Group D) Pedicle subtraction osteotomy and instrumentation for deformity correction. (Group E) Posterior decompression alone for isolated posterior epidural compression. (Group F) Reconstruction of anterior column by all posterior approach. Thirty-eight had neurological deficit whereas 29 were Frankel E. In 12 cases, anterior reconstruction was done. In the remaining 55 cases, we relied on vertebral reconstitution under chemotherapy. Operative time was 150.5min and blood loss was 514.18ml. Of 38 patients with deficit, 34 improved. There was radiological fusion in all patients. Pre- and post-operative Cobb's measurements were 9.95 and 8.1, respectively, in thoracic and thoracolumbar spine and −9.39 and −11.42, respectively, in lumbar spine. Of 55 cases where anterior reconstruction was not done, only 3 had progression of Cobb's >10°. Posterior approach can achieve adequate decompression of offending middle column and if required, even anterior reconstruction. Posterior approach is versatile, with many surgical options depending on the level and case requirements. Istituti Ortopedici Rizzoli, 2012 Thoracic tuberculosis nationallicence Lumbar tuberculosis nationallicence Posterior instrumentation nationallicence Transpedicular decompression nationallicence Surgical anterior column reconstruction nationallicence Rawall Saurabh Division of Spine Surgery, Department of Orthopaedics, Spine Clinic, P D Hinduja National Hospital, Veer Savarkar Marg, 400016, Mahim, Mumbai, India aut Mohan Kapil Division of Spine Surgery, Department of Orthopaedics, Spine Clinic, P D Hinduja National Hospital, Veer Savarkar Marg, 400016, Mahim, Mumbai, India aut Nene Abhay Division of Spine Surgery, Department of Orthopaedics, Spine Clinic, P D Hinduja National Hospital, Veer Savarkar Marg, 400016, Mahim, Mumbai, India aut MUSCULOSKELETAL SURGERY Springer Milan 97/1(2013-04-01), 67-75 2035-5106 97:1<67 2013 97 12306 https://doi.org/10.1007/s12306-012-0235-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12306-012-0235-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rawall Saurabh Division of Spine Surgery, Department of Orthopaedics, Spine Clinic, P D Hinduja National Hospital, Veer Savarkar Marg, 400016, Mahim, Mumbai, India aut NATIONALLICENCE 700 1- Mohan Kapil Division of Spine Surgery, Department of Orthopaedics, Spine Clinic, P D Hinduja National Hospital, Veer Savarkar Marg, 400016, Mahim, Mumbai, India aut NATIONALLICENCE 700 1- Nene Abhay Division of Spine Surgery, Department of Orthopaedics, Spine Clinic, P D Hinduja National Hospital, Veer Savarkar Marg, 400016, Mahim, Mumbai, India aut NATIONALLICENCE 773 0- MUSCULOSKELETAL SURGERY Springer Milan 97/1(2013-04-01), 67-75 2035-5106 97:1<67 2013 97 12306 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer