Anterior versus posterior surgical approach for lumbosacral tuberculosis

  title={Anterior versus posterior surgical approach for lumbosacral tuberculosis},
  author={Bolong Zheng and Dingjun Hao and Hua Guo and Baorong He},
  journal={The Journal of International Medical Research},
  pages={2569 - 2577}
Objective To compare two different approaches for the treatment of lumbosacral tuberculosis. Patients and Methods In total, 115 patients who were surgically treated in our department from July 2010 to July 2014 were included in this retrospective study. They were divided into the anterior and posterior approach groups. Intraoperative hemorrhage; the surgery time; the Cobb angle preoperatively, postoperatively, and at the follow-up visit (2 years postoperatively); visual analog scale (VAS) pain… 

Figures and Tables from this paper

Surgical strategy of lumbopelvic instrumentation in the treatment of lumbosacral tuberculosis: S2-alar-iliac screws vs iliac screws.
Compared to the traditional IS fixation technique, the S2AI fixation technique can shorten operation time and reduce surgical trauma for the treatment of lumbosacral tuberculosis.
The efficacy of allograft bone using titanium mesh in the posterior-only surgical treatment of thoracic and thoracolumbar spinal tuberculosis
Allograft bone using titanium mesh in the posterior-only surgical treatment is effective for patients with thoracic and thoracolumbar spinal tuberculosis and can correct kyphosis, and most patients can achieve complete bony fusion.
Initial stability of one-stage anterior debridement and cage implantation combined with anterior-lateral fixation by a dual screw-rod construct in the treatment of lumbosacral tuberculosis: a cadaveric biomechanical study
The proposed surgical approach can provide better immediate stability than anterior debridement with posterior dual screw-rod fixation in the treatment of lumbosacral tuberculosis in flexion, lateral bending and axial compression.
Biomechanical evaluation of anterior and posterior lumbar surgical approaches on the adjacent segment: a finite element analysis
Range of motion and intradiscal pressure of adjacent segments performing anterior and/or posterior lumbar surgical approaches are compared to predict potential risk of adjacent segment degeneration and there were no significant differences between the biomechanical measurements across the different surgical approaches evaluated.
Development of a scoring scale for predicting the risk of postoperative complications after spinal tuberculosis debridement: a retrospective cohort study of 233 patients.
Using a scoring scale for predicting the incidence of postoperative complications in patients after spinal tuberculosis debridement, spinal tuberculosis patients with a score between 4 to 9 would be considered at high risk of post operative complications, while patients with an score of 0 to 3 would likely be at low risk of developing postoperative complication.
Unilateral Limited Laminectomy for Debridement to Treat Localized Short‐Segment Lumbosacral Spinal Tuberculosis: A Retrospective Case Series
This study aimed to investigate the clinical effects of surgically treating lumbosacral tuberculosis with a modified posterior unilateral limited laminectomy method for debridement.
Surgical Approaches in Management of Spinal Tuberculosis
The aim of this work is to enable the reader to understand the rationale behind various surgical approaches and techniques involved in managing spinal TB.


Posterior only versus combined posterior and anterior approaches in surgical management of lumbosacral tuberculosis with paraspinal abscess in adults
  • H. Zeng, X. Wang, Z. Xu
  • Medicine
    European Journal of Trauma and Emergency Surgery
  • 2013
Posterior-only surgery is feasible and effective, resulting in better clinical outcomes than combined posterior–anterior surgeries, especially in surgical time, blood loss, hospital stay, and complications.
Comparison of Three Surgical Approaches for Thoracic Spinal Tuberculosis in Adult: Minimum 5-Year Follow Up
For patients with thoracic tuberculosis, use of the AO approach should be limited, not only because it achieves good results, but because it has reduced complications, operative time, and blood loss.
One-stage posterior debridement, transforaminal lumbar interbody fusion and instrumentation in treatment of lumbar spinal tuberculosis: a retrospective case series
Surgical management by one-stage posterior debridement, TLIF and instrumentation for lumbar tuberculosis is feasible and effective and obtained better clinical outcomes than combined posterior and anterior surgeries.
Treatment of lumbosacral spinal tuberculosis by one-stage anterior debridement and fusion combined with dual screw-rod anterior instrumentation underneath the iliac vessel
The findings suggest that anterior radical debridement, fusion combined with dual screw-rod anterior instrument underneath the iliac vessels can be an effective and safe treatment option for lumbosacral segment tuberculosis.
Study on anterior and posterior approaches for spinal tuberculosis: a meta-analysis
There are significant differences between the two operative approaches regarding the correction of Cobb angle, but no significant differences regarding operation time, blood loss, loss of Cobb angles, fusion time of allograft, time of total hospital stay, and length of total stay in the hospital.
Surgical Strategy and Management Outcomes for Adjacent Multisegmental Spinal Tuberculosis: A Retrospective Study of Forty-eight Patients
This study demonstrated that the 4 procedures can safely and effectively achieve nerve decompression, graft fusion, and kyphosis correction and that all 48 patients had been cured at the final follow-up.
One-stage posterior-only approach in surgical treatment of single-segment thoracic spinal tuberculosis with neurological deficits in adults: a retrospective study of 34 cases
One-stage posterior-only transpedicular debridement, interbody fusion, and posterior fixation followed by chemotherapy seems to be adequate for obtaining satisfactory healing of single-segment thoracic spinal tuberculosis with neurological deficits.
Surgical Treatment for Spinal Tuberculosis With Bilateral Paraspinal Abscess or Bilateral Psoas Abscess: One-stage Surgery
Single-stage posterior surgery with instrumentation results in less operative trauma and can be a suitable alternative for treating thoracic and lumbar tuberculosis with bilateral paraspinal or bilateral psoas abscesses.
Spinal epidural abscesses: risk factors, medical versus surgical management, a retrospective review of 128 cases.