title: Video-assisted thoracic surgery for tubercular spondylitis.
abstract: The present study evaluated the outcome of video-assisted thoracic surgery (VATS) in 9 patients (males = 6, females = 3) with clinico-radiological diagnosis of tubercular spondylitis of the dorsal spine. The mean duration of surgery was 140.88 ± 20.09 minutes, mean blood was 417.77 ± 190.90 mL, and mean duration of postoperative hospital stay was 5.77 ± 0.97 days, Seven patients had a preoperative Grade A neurological involvement, while at the time of final followup the only deficit was Grade D power in 2 patients. In patients without bone graft placement (n = 6), average increase in Kyphosis angle was 16°, while in patients with bone graft placement (n = 3) the deformity remained stationary. At the time of final follow up, fusion was achieved in all patients, the VAS score for back pain improved from a pretreatment score of 8.3 to 2, and the function assessment yielded excellent (n = 4) to good (n = 5) results. In two patients minithoracotomy had to be resorted due to extensive pleural adhesions (n = 1) or difficulty in placement of graft (n = 1). Videoassisted thoracoscopic surgery provides a safe and effective approach in the management of spinal tuberculosis. It has the advantages of decreased blood loss and post operative morbidity with minimal complications.
authors.affiliation: Department of Orthopaedic Surgery, Paraplegia & Rehabilitation, Pt. B.D. Sharma PGIMS, 52 / 9-J, Medical Enclave, Rohtak, Haryana 124001, India.
authors.forename: Roop
authors.initials: R
authors.lastname: Singh
authors.affiliation: Department of Orthopaedic Surgery, Paraplegia & Rehabilitation, Pt. B.D. Sharma PGIMS, 52 / 9-J, Medical Enclave, Rohtak, Haryana 124001, India.
authors.forename: Paritosh
authors.initials: P
authors.lastname: Gogna
authors.affiliation: Department of Surgery, Pt. B.D. Sharma PGIMS, Rohtak, Haryana 124001, India.
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Parshad
authors.affiliation: Department of Surgery, Pt. B.D. Sharma PGIMS, Rohtak, Haryana 124001, India.
authors.forename: Rajender Kumar
authors.initials: RK
authors.lastname: Karwasra
authors.affiliation: Department of Orthopaedic Surgery, Paraplegia & Rehabilitation, Pt. B.D. Sharma PGIMS, 52 / 9-J, Medical Enclave, Rohtak, Haryana 124001, India.
authors.forename: Parmod Kumar
authors.initials: PK
authors.lastname: Karwasra
authors.affiliation: Department of Anaesthesia & Critical Care, Pt. B.D. Sharma PGIMS, Rohtak, Haryana 124001, India.
authors.forename: Kiranpreet
authors.initials: K
authors.lastname: Kaur