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International Orthopaedics

Published in:

01-02-2012 | Review

Surgical correction of kyphotic deformity in spinal tuberculosis

Authors: Paul S. Issack, Oheneba Boachie-Adjei

Published in: International Orthopaedics | Issue 2/2012

Abstract

Purpose

Approximately 5% of patients with spinal tuberculosis will develop a severe kyphotic deformity resulting in increased potential for pain, spinal cord compression, cardiopulmonary dysfunction, costopelvic impingement and cosmetic concerns. This manuscript reviews the evaluation and surgical management of tuberculous kyphosis.

Methods

This is a review article.

Results

Risk factors for the development of severe kyphosis include those who develop spinal tuberculosis as children, multiple vertebral body involvement and thoracic spine involvement. These complications can be prevented by early diagnosis and treatment of spinal tubercular lesions at stages with little to no deformity. When tubercular lesions result in progression of kyphosis to more than 50 degrees, the deformity should be surgically corrected to avoid problems associated with sagittal imbalance. There are several operations described for the treatment of kyphosis secondary to tuberculous spondylitis. The type of the operation depends on the magnitude of correction required.

Conclusions

Anterior, posterior and combined techniques as well as osteotomies and vertebral column resection have been described to correct spinal alignment and restore sagittal balance.

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Title: Surgical correction of kyphotic deformity in spinal tuberculosis
Authors: Paul S. Issack
Oheneba Boachie-Adjei
Publication date: 01-02-2012
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 2/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-011-1292-9

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Surgical correction of kyphotic deformity in spinal tuberculosis

Abstract

Purpose

Methods

Results

Conclusions

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Purpose

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Results

Conclusions

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Acknowledgement to Referees

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