title: A Case of Koch's Spine Treated with Modified Transpedicular Vertebral Curettage and Posterior Fixation: A Novel Technique.
abstract: Tuberculosis (TB) is a chronic granulomatous infection caused by acid-fast mycobacterium tuberculosis bacilli. Spinal involvement occurs in less than one percent of TB. Spinal TB (Pott's disease) accounts for 50% of skeletal TB. Though it most commonly affects the thoracolumbar junction, it can occur at any level of the spine. Early diagnosis and treatment is mandatory in order to avoid neurological complications and spinal deformity. We report a case of a young female with tuberculosis of D12-L1 who was treated with posterior decompression using a modified transpedicular approach and posterior instrumentation with a successful outcome.
authors.affiliation: Orthopaedics, Sumandeep Vidyapeeth, Vadodara, Gujarat.
authors.forename: Paresh
authors.initials: P
authors.lastname: Golwala
authors.affiliation: Orthopaedics, Sumandeep Vidyapeeth, Vadodara, Gujarat.
authors.forename: Chirag
authors.initials: C
authors.lastname: Kapoor
authors.affiliation: Orthopaedics, Sumandeep Vidyapeeth, Vadodara, Gujarat.
authors.forename: Malkesh
authors.initials: M
authors.lastname: Shah
authors.affiliation: Orthopaedics, Sumandeep Vidyapeeth, Vadodara, Gujarat.
authors.forename: Aditya
authors.initials: A
authors.lastname: Merh
authors.affiliation: Orthopaedics, Sumandeep Vidyapeeth, Vadodara, Gujarat.
authors.forename: Ankur
authors.initials: A
authors.lastname: Kansagra
keywords: decompression; spinal tuberculosis; transpedicular