Table 5.
Previously published results with remarks on thoracolumbar tuberculosis with neurological deficit.
|
Serial No. |
Lead Author, y |
Neural Deficit |
Surgery |
ATT Duration |
Outcome |
Remark |
| 1 | Laheri (2001)34 | 23/28 | P + A, posterior and anterior | 9 mo | 21/23 (91.3%) recovery | Combined posterior decompression, fixation & anterior ICBG, good outcome |
| 2 | Benli (2003)35 | 25/63 | Anterior only | 12 mo | 80% full, 16% partial | Anterior only safe & efficacious |
| 3 | Jin (2003)17 | 15/23 | Anterior only | 12 mo | 14/15 (93%) neuro recovery | Spinal stability maintenance & ATT are prime strategy |
| 4 | Zhao (2007)18 | 25/37 | A + P, anterior and posterior | 18 mo | 2/25 recovery (92%) | Radical debridement & ATT key in healing |
| 5 | Jain (2008)36 | 27/38 | P + A, posterior followed by anterior | 12 mo | 88% (34/27) recovered | Single stage posterior fixation and anterolateral decompression has good outcome |
| 6 | Ma (2012)37 | 14/78 | A + P, anterior and posterior | 12 mo | 94% full recovery | Recurrences due to inadequate chemotherapy |
| 7 | Wang (2012)14 | 13/37 | P + A, posterior followed by anterior | 12 mo | 100% (13/13) recovery, effective kyphosis correction | Single-stage posterior fixation and anterior debridement with fusion & ATT has good outcome |
| 8 | Pu (2012)19 | 10/22 (A) 13/25 (P) | Anterior vs posterior | 18 mo | A: 100% full recovery; P: 11/13 full recovery | Anterior approach for lesion in anterior and middle column |
| 9 | Wang (2014)16 | 44/55 (Male) 45/60 (Female) | Gr A: A + P vs Gr B: P + A | 12 mo | Gr A: 34/44 full neuro recovery; Gr B: 36/45 full neuro recovery | Single posterior debridement/bone grafting/fixation may be the best when no psoas abscess |
| 10 | Cheng (2015)38 | 16/43 | A+P, Anterior and posterior | >12 mo | 93.7% recovery | Combined surgery, pre-op & post-op ATT has good outcome |
| 11 | Cui (2016)20 | 23/81 | A -11 P - 12 | 12 mo | A: 10/11 full recovery P: 10/12 full recovery | Anterior only or posterior only can achieve good results |
| 12 | Zhou (2018)21 | 30/34 (P only) 28/30 (A + P) | P vs A+P Posterior only vs anterior and posterior | 12 mo | P: 27/30 full recovery A + P: 25/28 full recovery | Single posterior approach is a favorable method |
| 13 | Liu (2020)13 | 28/35 (A) 31/43 (P) | A: 35 P: 43 | 18 mo | 100% | Single anterior or single posterior are both efficacious |
Abbreviations: A, anterior; ATT, antituberculosis therapy; Gr, grade; ICBG, iliac crest bone graft; P, posterior.