Ensuring Corpectomy and Stabilization Effectiveness in Patients Who Underwent Single Posterior Approaches

Abstract

Introduction: Today, approximately 2 million people worldwide suffer from spinal tuberculosis (STB). In endemic areas, classical STB is often accompanied by spondylodiscitis. Methods: This study retrospectively analyzed 15 patients diagnosed with STB who were followed up in our clinic from January 2010 to August 2021. The study included a total of 15 patients diagnosed with spondylodiscitis, 7 males and 8 females, with detection of STB bacillus (6 patients) and/or pathological diagnosis of caseous necrosis (15 patients). Results: Pre-operative neurological examinations of the patients revealed neurological deficits according to the Frankel scale, except in 2 patients. According to the Frankel scale, 8 patients showed improvement, 6 of them did not change, 1 worsened, and 13 had fusion documented on radiological imaging. Conclusion: Anterior corpectomy and posterior instrumentation may be a safe and effective technique compared with all other surgical interventions applicable in such patients.

Keywords

• thoracic and lumbar pott’s disease
• posterior surgical treatment
• anterior corpectomy