SINGLE-STAGE POSTERIOR RECONSTRUCTION FOR VERTEBRAL TUBERCULOSIS: KYPHOSIS CORRECTION AND FUNCTIONAL OUTCOMES

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Yıldırım A., Atiç R., Ancar C., Aydın A.

Journal of Turkish Spinal Surgery, cilt.37, sa.2, ss.58-63, 2026 (Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 37 Sayı: 2
  • Basım Tarihi: 2026
  • Doi Numarası: 10.4274/jtss.galenos.2026.52523
  • Dergi Adı: Journal of Turkish Spinal Surgery
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.58-63
  • Anahtar Kelimeler: Kyphosis correction, regional kyphosis correction, single-stage posterior surgery, spinal tuberculosis, titanium mesh cage
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objective: Single-stage posterior reconstruction is used for spinal tuberculosis, but outcome data vary. To report outcomes after single-stage posterior debridement/decompression, titanium mesh cage fusion, and posterior instrumentation. Materials and Methods: Retrospective series of 18 patients (2014-2019) treated with a posterior single-stage approach and ≥22 months’ followup. Indications included neurological deficit; instability, progressive collapse, or deformity; compressive epidural or paravertebral abscess; and/ or failure of anti-tuberculosis therapy. Outcomes included regional kyphosis/lordosis, visual analog scale (VAS), Frankel grade, Oswestry disability index (ODI) at final follow-up, and C-reactive protein (CRP)/erythrocyte sedimentation rate (ESR). Results: Mean age was 36.3±11.7 years; mean follow-up 37.9±20.1 months. Involvement was thoracolumbar in 10 cases, thoracic in 4, and lumbar in 4. In thoracic/thoracolumbar cases (n=14), kyphosis improved from approximately 30° to 15.2° (p=0.005); lumbar lordosis showed no significant change (p=0.655). VAS decreased from 7.81 to 3.15 (p<0.002). Frankel increased from 4.75±0.52 to 4.92±0.28 (p>0.05); two patients improved (D→E) with no deterioration. Final ODI was 27.33±17.40 (median 22; 10-64). CRP rose early and returned toward baseline by ~3 months; ESR showed no significant change at ~3 months. Conclusion: Posterior single-stage reconstruction was associated with maintained regional kyphosis correction and significant pain reduction; functional improvement could not be quantified without baseline ODI.