{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T04:27:28Z","timestamp":1688099248173},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T00:00:00Z","timestamp":1686873600000},"content-version":"vor","delay-in-days":15,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Tuberculous spondylitis is a common spinal infection. If surgical intervention is necessary, anterior debridement and anterior fixation are typically performed. However, a minimally invasive surgical strategy under local anesthesia seems rarely implemented.<\/jats:p><jats:p>A 68-year-old man presented with severe pain in the left flank. Whole spinal magnetic resonance imaging revealed abnormal intensity of vertebral bodies from T6\u20139. A bilateral paravertebral abscess extending from T4\u201310 was suspected. The T7\/T8 intervertebral disc was destroyed, but severe vertebral deformity or spinal cord compression was not observed. Bilateral percutaneous transpedicular drainage under local anesthesia was planned. The patient was set in the prone position. Under the guide of a biplanar angiographic system, the bilateral drainage tubes were placed paravertebrally in the abscess cavity. The left flank pain improved after the procedure. Laboratory culture of the pus specimen confirmed a diagnosis of tuberculosis. A chemotherapy regimen for tuberculosis was soon initiated. The patient was discharged during postoperative week 2, with continuation of chemotherapy for tuberculosis.<\/jats:p><jats:p>Percutaneous transpedicular drainage under local anesthesia can be effective in the management of thoracic tuberculous spondylitis without severe vertebral deformity or compression of the spinal cord by an abscess.<\/jats:p>","DOI":"10.1055\/s-0042-1748788","type":"journal-article","created":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T23:21:32Z","timestamp":1686957692000},"page":"327-332","source":"Crossref","is-referenced-by-count":0,"title":["Bilateral Percutaneous Transpedicular Drainage under Local Anesthesia for Thoracic Tuberculous Spondylitis"],"prefix":"10.1055","volume":"18","author":[{"given":"Yoshinori","family":"Maki","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hikone Chuo Hospital, Shiga, Japan"},{"name":"Department of Rehabilitation, Hikari Hospital, Shiga, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Motohiro","family":"Takayama","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Otsu City Hospital, Shiga, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kohichi","family":"Go","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Otsu City Hospital, Shiga, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,6,16]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"e806","DOI":"10.1016\/j.wneu.2019.04.260","article-title":"The value of MR imaging in comparative analysis of spinal infection in adults: pyogenic versus tuberculous","volume":"128","author":"N Zhang","year":"2019","journal-title":"World Neurosurg"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"216","DOI":"10.4184\/asj.2014.8.2.216","article-title":"Comparison of pyogenic spondylitis and tuberculous spondylitis","volume":"8","author":"K Y Lee","year":"2014","journal-title":"Asian Spine J"},{"issue":"444","key":"ref3","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1097\/01.blo.0000203454.82264.cd","article-title":"Clinical assessment and medical treatment of spine infections","volume":"444","author":"S Tsiodras","year":"2006","journal-title":"Clin Orthop Relat Res"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"e238","DOI":"10.1016\/j.wneu.2019.04.122","article-title":"One-stage surgical treatment for consecutive multisegment thoracic spinal tuberculosis with kyphosis by posterior-only debridement, interbody fusion, and instrumentation","volume":"128","author":"W Wu","year":"2019","journal-title":"World Neurosurg"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1007\/PL00011973","article-title":"Spinal tuberculosis (Pott's disease): its clinical presentation, surgical management, and outcome. A survey study on 694 patients","volume":"24","author":"M Turgut","year":"2001","journal-title":"Neurosurg Rev"},{"issue":"07","key":"ref6","doi-asserted-by":"crossref","first-page":"404","DOI":"10.4103\/1947-2714.115775","article-title":"Pott's spine: diagnostic imaging modalities and technology advancements","volume":"5","author":"S Ansari","year":"2013","journal-title":"N Am J Med Sci"},{"issue":"444","key":"ref7","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1097\/01.blo.0000203452.36522.97","article-title":"Spinal infections: diagnostic tests and imaging studies","volume":"444","author":"H S An","year":"2006","journal-title":"Clin Orthop Relat Res"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1186\/s13018-015-0292-7","article-title":"Debridement, internal fixation, and reconstruction using titanium mesh for the surgical treatment of thoracic and lumbar spinal tuberculosis via a posterior-only approach: a 4-year follow-up of 28 patients","volume":"10","author":"H Zhang","year":"2015","journal-title":"J Orthop Surg Res"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1007\/s00264-011-1469-2","article-title":"Kyphotic deformity in spinal tuberculosis and its management","volume":"36","author":"S Rajasekaran","year":"2012","journal-title":"Int Orthop"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.jocn.2015.11.036","article-title":"Minimally invasive surgery through the interlaminar approach in the treatment of spinal tuberculosis: a retrospective study of 31 patients","volume":"32","author":"H Yang","year":"2016","journal-title":"J Clin Neurosci"},{"issue":"S 04","key":"ref11","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1007\/s00586-012-2335-7","article-title":"Tuberculosis of spine: neurological deficit","volume":"22","author":"A K Jain","year":"2013","journal-title":"Eur Spine J"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.wneu.2013.01.120","article-title":"Current management of spinal tuberculosis: a multimodal approach","volume":"80","author":"P E Kaloostian","year":"2013","journal-title":"World Neurosurg"},{"issue":"S 04","key":"ref13","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1007\/s00586-012-2531-5","article-title":"Tuberculosis and Pott's disease, still very relevant health problems","volume":"22","author":"F Pellis\u00e9","year":"2013","journal-title":"Eur Spine J"},{"issue":"S 04","key":"ref14","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1007\/s00586-012-2388-7","article-title":"Historical aspects of Pott's disease (spinal tuberculosis) management","volume":"22","author":"S M Tuli","year":"2013","journal-title":"Eur Spine J"},{"issue":"01","key":"ref15","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/s13018-019-1063-7","article-title":"Can a posterior approach effectively heal thoracic and lumbar tuberculosis? Microbiology outcomes of the operative area","volume":"14","author":"C Zhao","year":"2019","journal-title":"J Orthop Surg Res"},{"issue":"04","key":"ref16","first-page":"575","article-title":"Anterior radical debridement and reconstruction using titanium mesh cage for the surgical treatment of thoracic and thoracolumbar spinal tuberculosis: minimium five-year follow-up","volume":"21","author":"B Wang","year":"2011","journal-title":"Turk Neurosurg"},{"issue":"06","key":"ref17","doi-asserted-by":"crossref","first-page":"1157","DOI":"10.1016\/j.wneu.2015.01.041","article-title":"Efficacy and safety of posterior versus combined posterior and anterior approach for the treatment of spinal tuberculosis: a meta-analysis","volume":"83","author":"J Liu","year":"2015","journal-title":"World Neurosurg"},{"issue":"06","key":"ref18","doi-asserted-by":"crossref","first-page":"450","DOI":"10.3171\/spi.2005.3.6.0450","article-title":"Thoracic and lumbar tuberculous spondylitis treated by posterior debridement, graft placement, and instrumentation: a retrospective analysis in 19 cases","volume":"3","author":"F K G\u00fczey","year":"2005","journal-title":"J Neurosurg Spine"},{"issue":"398","key":"ref19","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1097\/00003086-200205000-00008","article-title":"Combined anterior and posterior surgeries in the treatment of spinal tuberculous spondylitis","author":"W J Chen","year":"2002","journal-title":"Clin Orthop Relat Res"},{"issue":"03","key":"ref20","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1007\/s00586-012-2470-1","article-title":"One-stage surgical treatment for upper thoracic spinal tuberculosis by internal fixation, debridement, and combined interbody and posterior fusion via posterior-only approach","volume":"22","author":"H Zhang","year":"2013","journal-title":"Eur Spine J"},{"issue":"01","key":"ref21","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1186\/s12891-018-2187-3","article-title":"Minimally invasive direct lateral interbody fusion in the treatment of the thoracic and lumbar spinal tuberculosisMini-DLIF for the thoracic and lumbar spinal tuberculosis","volume":"19","author":"F Gan","year":"2018","journal-title":"BMC Musculoskelet Disord"},{"issue":"04","key":"ref22","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1111\/j.1757-7861.2009.00043.x","article-title":"Thoracoscopy-assisted mini-open surgery for anterior column reconstruction in thoracic spinal tuberculosis","volume":"1","author":"G H Lv","year":"2009","journal-title":"Orthop Surg"},{"issue":"06","key":"ref23","doi-asserted-by":"crossref","first-page":"1855","DOI":"10.1007\/s11999-014-3472-6","article-title":"Minimally invasive surgical approaches in the management of tuberculosis of the thoracic and lumbar spine","volume":"472","author":"N Garg","year":"2014","journal-title":"Clin Orthop Relat Res"},{"issue":"02","key":"ref24","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1007\/s00586-002-0403-0","article-title":"Anterior radical debridement and anterior instrumentation in tuberculosis spondylitis","volume":"12","author":"I T Benli","year":"2003","journal-title":"Eur Spine J"},{"issue":"01","key":"ref25","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1186\/s13018-018-0994-8","article-title":"Preliminary experience in treating thoracic spinal tuberculosis via a posterior modified transfacet debridement, instrumentation, and interbody fusion","volume":"13","author":"Y P Huang","year":"2018","journal-title":"J Orthop Surg Res"},{"issue":"08","key":"ref26","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1016\/j.spinee.2011.06.009","article-title":"One-stage surgical management for thoracic tuberculosis by anterior debridement, decompression and autogenous rib grafts, and instrumentation","volume":"11","author":"M Li","year":"2011","journal-title":"Spine J"},{"issue":"06","key":"ref27","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1007\/s00402-012-1473-z","article-title":"Surgical management for multilevel noncontiguous thoracic spinal tuberculosis by single-stage posterior transforaminal thoracic debridement, limited decompression, interbody fusion, and posterior instrumentation (modified TTIF)","volume":"132","author":"H Q Zhang","year":"2012","journal-title":"Arch Orthop Trauma Surg"},{"issue":"04","key":"ref28","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1097\/01.bsd.0000211281.68400.1b","article-title":"One-stage surgical management for multilevel tuberculous spondylitis of the upper thoracic region by anterior decompression, strut autografting, posterior instrumentation, and fusion","volume":"20","author":"H Q Zhang","year":"2007","journal-title":"J Spinal Disord Tech"},{"issue":"12","key":"ref29","doi-asserted-by":"crossref","first-page":"1717","DOI":"10.1007\/s00402-012-1618-0","article-title":"Surgical management for thoracic spinal tuberculosis in the elderly: posterior only versus combined posterior and anterior approaches","volume":"132","author":"H Q Zhang","year":"2012","journal-title":"Arch Orthop Trauma Surg"},{"issue":"02","key":"ref30","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1007\/s00264-011-1329-0","article-title":"A posterior versus anterior surgical approach in combination with debridement, interbody autografting and instrumentation for thoracic and lumbar tuberculosis","volume":"36","author":"X Pu","year":"2012","journal-title":"Int Orthop"},{"issue":"08","key":"ref31","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1097\/01.bsd.0000211241.06588.7b","article-title":"Single-stage transpedicular decompression and posterior instrumentation in treatment of thoracic and thoracolumbar spinal tuberculosis: a retrospective case series","volume":"19","author":"S H Lee","year":"2006","journal-title":"J Spinal Disord Tech"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"632981","DOI":"10.1155\/2009\/632981","article-title":"Percutaneous discectomy-continuous irrigation and drainage for tuberculous lumbar spondylitis: a report of two cases","volume":"2009","author":"S Shibuya","year":"2009","journal-title":"Case Rep Med"},{"issue":"01","key":"ref33","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1186\/s12891-020-03344-9","article-title":"Minimally invasive surgery for paravertebral or psoas abscess with spinal tuberculosis - a long-term retrospective study of 106 cases","volume":"21","author":"Z Zhang","year":"2020","journal-title":"BMC Musculoskelet Disord"}],"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1748788.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,29]],"date-time":"2023-06-29T23:30:24Z","timestamp":1688081424000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0042-1748788"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6]]},"references-count":33,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2023,6,29]]},"published-print":{"date-parts":[[2023,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1748788","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"value":"1793-5482","type":"print"},{"value":"2248-9614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6]]}}}