title: Pedicle subtraction osteotomy for rigid post-tuberculous kyphosis.
abstract: 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.
authors.affiliation: Department of Orthopaedics, T. N. Medical College and BYL Nair Hospital, Mumbai-400008, India. drkkalra@gmail.com
authors.forename: K P
authors.initials: KP
authors.lastname: Kalra
authors.forename: S B
authors.initials: SB
authors.lastname: Dhar
authors.forename: G
authors.initials: G
authors.lastname: Shetty
authors.forename: Q
authors.initials: Q
authors.lastname: Dhariwal
mesh_terms: 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