Pott's disease surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2]


Surgery is not the primary treatment for spinal tuberculosis. It is preferred in patients unresponsive to medical therapy and with worsening neurological function. Surgical debridement with cord decompression is performed in such patients.


Indications for Surgery

The following are the indications for surgery in patients with Pott's disease:[1][2][3][4]

Surgical Options


  1. Wang YX, Zhang HQ, Li M, Tang MX, Guo CF, Deng A; et al. (2017). "Debridement, interbody graft using titanium mesh cages, posterior instrumentation and fusion in the surgical treatment of multilevel noncontiguous spinal tuberculosis in elderly patients via a posterior-only". Injury. 48 (2): 378–383. doi:10.1016/j.injury.2016.12.025. PMID 28063678.
  2. Liu JM, Zhou Y, Peng AF, Chen XY, Chen WZ, Long XH; et al. (2017). "One-stage posterior surgical management of lumbosacral spinal tuberculosis with nonstructural autograft". Clin Neurol Neurosurg. 153: 67–72. doi:10.1016/j.clineuro.2016.12.013. PMID 28056436.
  3. Peng L, Hai N (2016). "The effect of time-to-surgery on outcome in patients with neurological deficits caused by spinal tuberculosis". Turk Neurosurg. doi:10.5137/1019-5149.JTN.18736-16.1. PMID 27990623.
  4. Panchmatia JR, Lenke LG, Molloy S, Cheung KM, Kebaish KM (2015). "Review article: Surgical approaches for correction of post-tubercular kyphosis". J Orthop Surg (Hong Kong). 23 (3): 391–4. doi:10.1177/230949901502300328. PMID 26715725.
  5. Golwala P, Kapoor C, Shah M, Merh A, Kansagra A (2016). "A Case of Koch's Spine Treated with Modified Transpedicular Vertebral Curettage and Posterior Fixation: A Novel Technique". Cureus. 8 (12): e915. doi:10.7759/cureus.915. PMC 5218885. PMID 28083459.
  6. Pan Z, Luo J, Yu L, Chen Y, Zhong J, Li Z; et al. (2017). "Débridement and Reconstruction Improve Postoperative Sagittal Alignment in Kyphotic Cervical Spinal Tuberculosis". Clin Orthop Relat Res. doi:10.1007/s11999-017-5306-9. PMID 28265884.
  7. D'souza AR, Mohapatra B, Bansal ML, Das K (2017). "Role of Posterior Stabilization and Transpedicular Decompression in the Treatment of Thoracic and Thoracolumbar TB: A Retrospective Evaluation". Clin Spine Surg. doi:10.1097/BSD.0000000000000498. PMID 28169940.
  8. Wang LJ, Zhang HQ, Tang MX, Gao QL, Zhou ZH, Yin XH (2016). "Comparison of Three Surgical Approaches for Thoracic Spinal Tuberculosis in Adult: Minimum 5-Year Follow-Up". Spine (Phila Pa 1976). doi:10.1097/BRS.0000000000001955. PMID 27792109.
  9. Li J, Huang X, Chen F, Dai F, Zhou Q, Luo F; et al. (2017). "Computed Tomography-Guided Catheterization Drainage to Cure Spinal Tuberculosis With Individualized Chemotherapy". Orthopedics: 1–7. doi:10.3928/01477447-20170117-02. PMID 28112788.
  10. Alam MS, Phan K, Karim R, Jonayed SA, Munir HK, Chakraborty S; et al. (2015). "Surgery for spinal tuberculosis: a multi-center experience of 582 cases". J Spine Surg. 1 (1): 65–71. doi:10.3978/j.issn.2414-469X.2015.07.03. PMC 5039863. PMID 27683681.