Video-Assisted Thoracic Surgery for Tubercular Spondylitis. (3rd April 2014)

• Record Type: Journal Article
• Authors: Singh, Roop; Gogna, Paritosh; Parshad, Sanjeev; Karwasra, Rajender Kumar; Karwasra, Parmod Kumar; Kaur, Kiranpreet
• Other Names: Schöb Othmar Academic Editor.
• Is Part Of: Minimally invasive surgery. Volume 2014(2014)
• Publication Date: 2014-04-03
• Subjects: Endoscopic surgery -- Periodicals; 617.05705
• DOI: 10.1155/2014/963497
• Languages: English
• ISSNs: 2090-1445

Abstract

Abstract : The present study evaluated the outcome of video-assisted thoracic surgery (VATS) in 9 patients (males = 6, females = 3) with clinico-radiological diagnosis of tubercular spondylitis of the dorsal spine. The mean duration of surgery was 140.88 ± 20.09 minutes, mean blood was 417.77 ± 190.90 mL, and mean duration of postoperative hospital stay was 5.77 ± 0.97 days, Seven patients had a preoperative Grade A neurological involvement, while at the time of final followup the only deficit was Grade D power in 2 patients. In patients without bone graft placement ( n = 6), average increase in Kyphosis angle was 16°, while in patients with bone graft placement ( n = 3) the deformity remained stationary. At the time of final follow up, fusion was achieved in all patients, the VAS score for back pain improved from a pretreatment score of 8.3 to 2, and the function assessment yielded excellent ( n = 4) to good ( n = 5) results. In two patients minithoracotomy had to be resorted due to extensive pleural adhesions ( n = 1) or difficulty in placement of graft ( n = 1). Videoassisted thoracoscopic surgery provides a safe and effective approach in the management of spinal tuberculosis. It has the advantages of decreased blood loss and post operative morbidity with minimal complications.