Asian Spine J.  2016 Aug;10(4):792-800. 10.4184/asj.2016.10.4.792.

Management of Tuberculous Infection of the Spine

Affiliations
  • 1Department of Orthopaedics, All India Institute of Medical Sciences (AIIMS), Rishikesh, India. pankajkandwal27@gmail.com
  • 2Department of Orthopaedics, Primus Superspeciality Hospital, New Delhi, India.

Abstract

Spinal tuberculosis accounts for nearly half of all cases of musculoskeletal tuberculosis. It is primarily a medical disease and treatment consists of a multidrug regimen for 9-12 months. Surgery is reserved for select cases of progressive deformity or where neurological deficit is not improved by anti-tubercular treatment. Technology refinements and improved surgical expertise have improved the operative treatment of spinal tuberculosis. The infected spine can be approached anteriorly or posteriorly, in a minimally invasive way. We review the various surgical techniques used in the management of spinal tuberculosis with focus on their indications and contraindications.

Keyword

Spinal tuberculosis; Posterior only vertebral column resection; Anterior instrumentation; Posterior instrumentation; Minimal invasive spine surgery

MeSH Terms

Congenital Abnormalities
Spine*
Tuberculosis
Tuberculosis, Spinal
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