Surgical treatment of spinal tuberculosis: an updated review
- PMID: 39695719
- PMCID: PMC11658241
- DOI: 10.1186/s40001-024-02198-4
Surgical treatment of spinal tuberculosis: an updated review
Abstract
Tuberculosis (TB) is a worldwide disease which seriously affects the global public health. Spinal TB is the most common extra-pulmonary TB and may cause vertebral bone destruction, collapse, kyphosis and even paralysis. Anti-TB chemotherapy is considered the cornerstone treatment of spinal TB and surgery is often required for patients with severe kyphosis, impaired neurological function or spinal instability. Debridement of TB lesions, bone grafting and internal fixation are the key procedures of spinal TB surgery. However, the selection of surgical approach, the extent of TB lesion debridement, the choice of bone graft materials, and the method and extent of internal fixation are all remain controversy. The aim of this updated review is to evaluate current literature for advances in management of spinal TB, with particular focus on surgical techniques.
Keywords: Bone graft; Debridement; Internal fixation; Spine tuberculosis; Surgery.
© 2024. The Author(s).
Conflict of interest statement
Declarations. Ethics approval and consent to participate: Not applicable. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.
References
-
- Furin J, Cox H, Pai M. Tuberculosis. Lancet. 2019;393(10181):1642–56. - PubMed
-
- Floyd K, Glaziou P, Zumla A, Raviglione M. The global tuberculosis epidemic and progress in care, prevention, and research: an overview in year 3 of the End TB era. Lancet Respir Med. 2018;6(4):299–314. - PubMed
-
- Mayanja-Kizza H, Sekaggya-Wiltshire C, Kassa D. Optimal therapy for multidrug-resistant tuberculosis and HIV. Lancet. 2020;396(10248):363–5. - PubMed
-
- Jain AK, Rajasekaran S, Jaggi KR, Myneedu VP. Tuberculosis of the Spine. J Bone Joint Surg Am. 2020;102(7):617–28. - PubMed
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