{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T20:15:25Z","timestamp":1792095325824,"version":"4.4.0"},"reference-count":32,"publisher":"Scientific Scholar","issue":"02","license":[{"start":{"date-parts":[[2019,8,20]],"date-time":"2019-08-20T00:00:00Z","timestamp":1566259200000},"content-version":"vor","delay-in-days":141,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Neurosciences in Rural Practice"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>\n          Background: Surgical management of spinal tuberculosis (TB) has been classically the anterior, then combined, and of late increasingly by the posterior approach. The posterior approach has been successful in early disease. There has been a paradigm shift and inquisitive to explore this approach in the more advanced and even long-segment disease. Our study is a retrospective analysis by authors in variable disease pattern of TB Spine operated at an institute using a single posterior approach. Settings and Design: A retrospective case study series in a tertiary level hospital. Aims: The aim of this study is to evaluate the functional and radiological results of an all posterior instrumented approach used as a \u201cuniversal approach\u201d in tubercular spondylodiscitis of variable presentation. Materials and Methods: The study is from January 2015 to May 2018. Twenty-four of 38 patients met the inclusion criterion with a male: female = 8:16, and mean age 44.26 years. The initial diagnosis of TB was based on clinic-radiologic basis. Their level of affection, number of vertebrae affected, and vertebral body collapse, the kyphosis (preoperative, predicted, postoperative, and final residual) and bony fusion were measured in the preoperative, postoperative, and final X rays. Functional scoring regarding visual analog scale and Frankel neurology grading was done at presentation and follow-up of patients. Histopathological data of all patients were collected and anti-tubercular therapy completed for a period of 1 year with 4 drugs (HRZE) for 2 months and 2 drugs (HR) for rest of period. Statistical Analysis Used: The descriptive data were analyzed by descriptive statistics, and other parameters were calculated using the appropriate statistical tests such as the Student paired t-test for erythrocyte sedimentation rate, visual analog scale score, and kyphosis. Results: The mean number of vertebrae involved was 3.29 \u00b1 0.86 (2\u20136) with mean vertebral body destruction was 0.616. Preoperatively, the mean kyphosis angle was 22.42\u00b0 \u00b1 12.56\u00b0 and was corrected postoperatively to 13.08\u00b0 \u00b1 11.34\u00b0 with an average correction of 9.34\u00b0 (41.66%). At the latest follow-up, there was mean loss of correction of 0.80\u00b0 resulting in 13.88\u00b0 of final correction. Bony fusion was achieved in 20 patients (83.33%) cases. Neurological recovery occurred in all patients (100%), and 92% could be ambulatory at 1 year follow-up. There was improvement of visual analog scale from 6.33 \u00b1 1.05 preoperatively to 1.042 \u00b1 0.75 at 3 months of postoperative period. Two patients had bed sore, two had urinary infection, and one had neurological worsening requiring re exploration and cage removal eventually recovering to Frankel E. Two patients died due to unrelated cause. Conclusions: The procedure in safe and has satisfactory results in variable group affection of Pott\u2019s spine including early and late disease, multisegment involvement using pedicle screw fixation with\/without cage support.<\/jats:p>","DOI":"10.4103\/jnrp.jnrp_294_18","type":"journal-article","created":{"date-parts":[[2019,3,22]],"date-time":"2019-03-22T04:20:03Z","timestamp":1553228403000},"page":"225-233","source":"Crossref","is-referenced-by-count":8,"title":["Standalone Instrumented Posterior Approach Used as Universal Approach for Tuberculosis Spondylodiscitis"],"prefix":"10.25259","volume":"10","author":[{"given":"Mantu","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, AIIMS, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rabi Narayan","family":"Sahu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, AIIMS, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudarsan","family":"Behera","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, AIIMS, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh","family":"Rana","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, AIIMS, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujit Kumar","family":"Tripathy","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, AIIMS, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish","family":"Pattnaik","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, AIIMS, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2019,8,20]]},"reference":[{"key":"key-10.4103\/0976-3147.254670-1","first-page":"540","volume-title":"Hemiplegic\/monoplegic presentation of cervical spine (C1-C2) tuberculosis","author":"Dhammi","year":"2001","journal-title":"Eur Spine J"},{"key":"key-10.4103\/0976-3147.254670-2","first-page":"7584","volume-title":"Treatment of tuberculosis of the spine with neurologic complications","author":"Jain","year":"2002","journal-title":"Clin Orthop Relat Res"},{"key":"key-10.4103\/0976-3147.254670-3","first-page":"905","volume-title":"Tuberculosis of the spine: A fresh look at an old disease","author":"Jain","year":"2010","journal-title":"J Bone Joint Surg Br"},{"key":"key-10.4103\/0976-3147.254670-4","first-page":"503","volume-title":"Prediction of the angle of gibbus deformity in tuberculosis of the spine","author":"Rajasekaran","year":"1987","journal-title":"J Bone Joint Surg Ser A"},{"key":"key-10.4103\/0976-3147.254670-5","first-page":"1890","volume-title":"Evaluation of the risk of instrumentation as a foreign body in spinal tuberculosis.Clinical and biologic study","author":"Oga","year":"1976","journal-title":"Spine (Phila Pa"},{"key":"key-10.4103\/0976-3147.254670-6","first-page":"295","volume-title":"Anterior spine fusion for the treatment of tuberculosis of the spine.The operative findings and results of treatment in the first one hundred cases","author":"Hodgson","year":"1960","journal-title":"J Bone Joint Surg"},{"key":"key-10.4103\/0976-3147.254670-7","first-page":"839","volume-title":"Perioperative complications of anterior procedures on the spine","author":"McDonnell","year":"1996","journal-title":"J Bone Joint Surg Am"},{"key":"key-10.4103\/0976-3147.254670-8","first-page":"1039","volume-title":"A single stage posterior approach and rigid fixation for preventing kyphosis in the treatment of spinal tuberculosis","author":"G\u00fcven","year":"1976","journal-title":"Spine (Phila Pa"},{"key":"key-10.4103\/0976-3147.254670-9","first-page":"E217","volume-title":"Posterior-only approach surgery for fixation and decompression of thoracolumbar spinal tuberculosis: A retrospective study","author":"Sahoo","year":"2012","journal-title":"J Spinal Disord Tech"},{"key":"key-10.4103\/0976-3147.254670-10","first-page":"163","volume-title":"Transpedicular instrumentation as an adjunct in the treatment of thoracolumbar and lumbar spine tuberculosis with early stage bone destruction","author":"Lee","year":"1999","journal-title":"J Neurosurg"},{"key":"key-10.4103\/0976-3147.254670-11","first-page":"26","volume-title":"The ambulant treatment of spinal tuberculosis","author":"Konstam","year":"1962","journal-title":"Br J Surg"},{"key":"key-10.4103\/0976-3147.254670-12","first-page":"359","volume-title":"Kyphotic deformity in spinal tuberculosis and its management","author":"Rajasekaran","year":"2012","journal-title":"Int Orthop"},{"key":"key-10.4103\/0976-3147.254670-13","unstructured":"World Health Oraganization. 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