Posterior Approach Alone Versus Combined Anterior and Posterior Approach in the Management of Vertebral Tuberculosis

dc.contributor.authorDemirel, Mehmet
dc.contributor.authorAkgul, Turgut
dc.contributor.authorPehlivanoglu, Tuna
dc.contributor.authorKarademir, Gokhan
dc.contributor.authorBayram, Serkan
dc.contributor.authorDikici, Fatih
dc.contributor.authorSar, Cuneyt
dc.date.accessioned2023-02-21T12:32:48Z
dc.date.available2023-02-21T12:32:48Z
dc.date.issued2019-01-01
dc.description.abstractAIM: 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 analyzed retrospectively. Patients were divided into two groups as group A (posterior surgery alone) or group B (combined anterior and posterior surgery), and groups were compared in terms of invasiveness of the procedure, spinal deformity, fusion, neurological status, 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 (range 12-60) while group B included 15 patients (mean age: 60 years, range: 35-73) with a mean follow-up period of 28 months (range 12-60). Procedurally, average operation time and mean length of hospitalization were shorter, and mean blood loss was lower in group A (p<0.05) compared to group B. Postoperative bone fusion took significantly (p<0.05) longer time in group A (10.5 +/- 2.1 months)than in group B (9.3 +/- 3.1 months), and all patients with a neurological deficit recovered completely during the postoperative period. No significant differences were observed between two groups with respect to postoperative complications (p>0.05). CONCLUSION: Combined anterior-posterior surgery may not be required for treating vertebral tuberculosis as posterior surgery alone appears to be sufficient.
dc.description.issue5
dc.description.pages724-733
dc.description.volume29
dc.identifier.doi10.5137/1019-5149.JTN.25968-19.3
dc.identifier.urihttps://hdl.handle.net/11443/1269
dc.identifier.urihttp://dx.doi.org/10.5137/1019-5149.JTN.25968-19.3
dc.identifier.wosWOS:000486326100016
dc.publisherTURKISH NEUROSURGICAL SOC
dc.relation.ispartofTURKISH NEUROSURGERY
dc.subjectTuberculosis
dc.subjectPott's disease
dc.subjectSpine
dc.subjectTreatment
dc.subjectSurgery
dc.subjectPosterior approach
dc.subjectCombined approach
dc.titlePosterior Approach Alone Versus Combined Anterior and Posterior Approach in the Management of Vertebral Tuberculosis
dc.typeArticle

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