Pedicle subtraction osteotomy for rigid post-tuberculous kyphosis.
We studied 15 patients with healed tuberculosis of the spine and a resultant kyphosis. We selected only those with no neurological deficit and performed a wedge resection of the vertebra using a transpedicular approach. The wedge was removed from the apex of the deformity. For those with a neurological deficit, we chose the conventional anterior debridement and decompression with 360 degrees circumferential fusion. At a mean follow-up of 26.8 months (8 to 46) the outcome was good with an increase in the mean Oswestry Disability Index from 56.26 (48 to 62) pre-operatively to 11.2 (6 to 16) at the latest follow-up.
Kalra
K P
KP
Department of Orthopaedics, T. N. Medical College and BYL Nair Hospital, Mumbai-400008, India. drkkalra@gmail.com
Dhar
S B
SB
Shetty
G
G
Dhariwal
Q
Q
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D007738:Kyphosis / Q000209:etiology / Q000601:surgery*; D008161:Lumbosacral Region; D008297:Male; D010027:Osteotomy / Q000379:methods*; D017060:Patient Satisfaction; D011183:Postoperative Complications; D016896:Treatment Outcome; D014399:Tuberculosis, Spinal / Q000150:complications* / Q000601:surgery