Surgical Outcomes of Transpedicular Decompression with or without Global Reconstruction in Thoracic/Thoracolumbar Pott's Spine: A 7-Year Institutional Retrospective Study

• Published in: Asian spine journal 2022, 16(2), , pp.173-182
• Main Authors: Kalidindi, Kalyan Kumar Varma, Bansal, Kuldeep, Biswas, Gourab, Gupta, Anuj, Vishwakarma, Gayatri, Tandon, Vikas, Chhabra, Harvinder Singh
• Format: Article
• Language: English
• Subjects: artificial implants; Biopsy; Bone surgery; Clinical Study; Decompression; Magnetic resonance imaging; Pathology; Patients; Skin & tissue grafts; Spinal cord; spinal tuberculosis; Surgery; surgical decompression; Surgical mesh; Surgical outcomes; Titanium alloys; Tomography; Tuberculosis; Vertebrae; X-rays; 정형외과학
• ISSN: 1976-1902; 1976-7846
• DOI: 10.31616/asj.2021.0008

Retrospective case-control study. This study aimed to analyze the radiological and clinical outcomes of transpedicular decompression in spinal tuberculosis (or Pott's spine) with and without anterior reconstruction using polyetheretherketone (PEEK) or mesh cage. The outcomes of transpedicular decompression with and without global reconstruction in Pott's spine are insufficiently investigated. Additionally, the use of PEEK cages in Pott's spine has remained unestablished. Using the hospital records and imaging database obtained from January 2014 to January 2020, this study retrospectively analyzed patients who underwent surgery for Pott's spine and met the eligibility criteria. This study included 230 patients with a mean±standard deviation age of 47.7±18.1 years (109 males, 121 females). The Visual Analog Scale score, Oswestry Disability Index, and Cobb angle were significantly improved in these patients (p