{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T10:00:24Z","timestamp":1794045624774,"version":"4.8.0"},"reference-count":0,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"6","license":[{"start":{"date-parts":[[2001,8,1]],"date-time":"2001-08-01T00:00:00Z","timestamp":996624000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2001,8]]},"abstract":"<jats:p>In spinal tuberculosis MRI can clearly demonstrate combinations of anterior and posterior lesions as well as pedicular involvement. We propose a classification system, using information provided by MRI, to help to plan the appropriate surgical treatment for patients with thoracic spinal tuberculosis. We describe a series of 47 patients, divided into four groups, based on the surgical protocol used in the management. Group A consisted of patients with anterior lesions which were stable with no kyphotic deformity, and were treated with anterior debridement and strut grafting. Group B comprised patients with global lesions, kyphosis and instability who were treated with posterior instrumentation using a closed-loop rectangle with sublaminar wires, and by anterior strut grafting. Group C were patients with anterior or global lesions as in the previous groups, but who were at a high risk for transthoracic surgery because of medical and possible anaesthetic complications. These patients had a global decompression of the cord posteriorly, the anterior portion of the cord being approached through a transpedicular route. Posterior instrumentation was with a closed-loop rectangle held by sublaminar wires. Group D comprised patients with isolated posterior lesions which required posterior decompression only.<\/jats:p>\n                  <jats:p>An understanding of the extent of vertebral destruction can be obtained from MRI studies. This information can be used to plan appropriate surgery.<\/jats:p>","DOI":"10.1302\/0301-620x.83b6.0830859","type":"journal-article","created":{"date-parts":[[2018,2,21]],"date-time":"2018-02-21T14:25:31Z","timestamp":1519223131000},"page":"859-863","source":"Crossref","is-referenced-by-count":172,"title":["Tuberculosis of the thoracic spine"],"prefix":"10.1302","volume":"83-B","author":[{"given":"J. S.","family":"Mehta","sequence":"first","affiliation":[{"name":"Kent and Sussex Hospital, Mt Ephraim, Tunbridge Wells TNG 8AT, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Y.","family":"Bhojraj","sequence":"additional","affiliation":[{"name":"Hinduja Hospital, Veer Sauarkar Marg, Mahim Mumbai 16, India."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.83B6.0830859","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.83B6.0830859","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T15:47:52Z","timestamp":1629128872000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.83B6.0830859"}},"subtitle":["A CLASSIFICATION BASED ON THE SELECTION OF SURGICAL STRATEGIES"],"short-title":[],"issued":{"date-parts":[[2001,8]]},"references-count":0,"aliases":["10.1302\/0301-620x.83b6.11142","10.1302\/0301-620x.83b6.11142"],"journal-issue":{"issue":"6","published-print":{"date-parts":[[2001,8]]}},"alternative-id":["10.1302\/0301-620X.83B6.0830859"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.83b6.0830859","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,8]]}}}