Volume 16 | Issue 1 | January-March 2021 | Page 10-16 | Awyay Rege, Amarjeet Jagadale, Sameer Ruparel, Ram Chaddha
Authers: Awyay Rege [1], Amarjeet Jagadale [1], Sameer Ruparel [2], Ram Chaddha [3]
[1] Clinical Spine Fellows at Lilavati, Jaslok and Global Hospitals, Mumbai.
[2] Consultant Spine Surgeon at Jaslok and Global Hospitals, Mumbai.
[3] Consultant Spine Surgeon at Lilavati, Jaslok and Global Hospitals, Mumbai.
Address of Correspondence
Dr. Ram Chaddha,
Room No 3, OPD Block, Lilavati Hospital and Research Centre, Reclamation, Bandra West, Mumbai, Maharashtra- 400050.
E-mail: spineram@gmail.com
Abstract
Though tuberculosis of spine is known to affect humans since ages, knowledge about its pathogenesis is fairly recent. With the advent of Anti Tuberculous therapy, treatment principles have changed tremendously in recent times. With clarity of indications for surgery, the preferred technique and approach still varies amongst spine surgeons across the world. Though anterior approach was initially preferred, recently posterior approach is favoured by many. Combined approach encompasses the advantages of either, however, is also more morbid. With the quest for better patient outcomes, surgeons have managed to treat most cases with either anterior or posterior approaches. Anterior approach has the advantage of direct decompression, better debridement with acceptable blood loss and operative time. It is more cost effective and holds its ground even with recent advances in Minimally Invasive Spine Surgeries. All in all, authors feel each patient and its pathology is different and both approaches have their own indications and advantages and thus follow an effective algorithm for patient management. This manuscript focusses on the importance of transthoracic approach for treating spinal tuberculosis in present era.
Keywords: Transthoracic approach, Anterior approach, Spinal Tuberculosis, Koch’s spine.
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How to Cite this article: Rege A, Jagadale A, Ruparel S, Chaddha R. Transthoracic Approach for Spinal Tuberculosis: Where it has the Advantage in the Present Era?. Journal of Trauma and Orthopaedic Surgery January-March 2021;16(1): 10-16. |