Expert's comment concerning Grand Rounds case entitled "Closing-opening wedge osteotomy for severe, rigid thoraco-lumbar post-tubercular kyphosis" (by S. Rajasekaran, P. Rishimugesh Kanna and Ajoy Prasad Shetty).
Prevention or correction of severe kyphotic deformity in addition to eradication of the infective focus has become the modern standard of management of tuberculosis of the spine. Circumferential excision of the kyphus is now technically feasible with the development of rigid pedicle screw fixation system and intraoperative spinal cord monitoring in the past two decades.
Luk
Keith D K
KD
Department of Orthopedics and Traumatology, The University of Hong Kong, Pokfulam, Hong Kong SAR, China. hrmoldk@hku.hk
D006801:Humans; D007738:Kyphosis / Q000473:pathology* / Q000601:surgery*; D008297:Male; D019635:Neurosurgical Procedures / Q000379:methods*; D010027:Osteotomy / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D014399:Tuberculosis, Spinal / Q000150:complications*