POSTERIOR APPROACH IN SPINAL TUBERCULOSIS: WITH OR WITHOUT CORPECTOMY?
Journal of Turkish Spinal Surgery, cilt.36, sa.3, ss.130-136, 2025 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 36 Sayı: 3
- Basım Tarihi: 2025
- Doi Numarası: 10.4274/jtss.galenos.2025.40469
- Dergi Adı: Journal of Turkish Spinal Surgery
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.130-136
- Anahtar Kelimeler: corpectomy, posterior approach, Spinal tuberculosis
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Spinal tuberculosis is a challenging condition that often requires surgical intervention. The posterior surgical approach has gained popularity due to its technical advantages, yet the necessity of vertebral body resection (corpectomy) remains debated. This study aimed to compare the clinical and radiological outcomes of posterior decompression and spinal fusion surgeries performed with and without corpectomy in patients with spinal tuberculosis. Materials and Methods: A total of 13 patients were retrospectively analyzed. Group 1 (n=5) underwent posterior decompression and fusion with corpectomy, while Group 2 (n=8) underwent the same procedure without corpectomy. Key variables such as kyphotic angle correction, neurological recovery, operation duration, and hospital stay were compared using appropriate statistical methods. Results: Group 1 showed significantly better kyphosis correction (33.34% vs. 18.06%, p=0.003) and slightly higher neurological improvement (60% vs. 50%, p=0.171). Operation time was significantly longer in Group 1 (10.6 vs. 4.8 hours, p=0.003). Hospital stay was longer in Group 1 but without statistical significance (19.4 vs. 15.3 days, p=0.435). Conclusion: Corpectomy via the posterior approach provides significantly better deformity correction but is associated with longer operative time. Surgical decision-making should be tailored to individual clinical and radiological factors.