Anterior versus posterior surgical approach for lumbosacral tuberculosis

Bolong Zheng, Dingjun Hao, Hua Guo, Baorong He
2018 Journal of International Medical Research  
Objective: To compare two different approaches for the treatment of lumbosacral tuberculosis. Patients and Methods: In total, 115 patients who were surgically treated in our department from July 2010 to July 2014 were included in this retrospective study. They were divided into the anterior and posterior approach groups. Intraoperative hemorrhage; the surgery time; the Cobb angle preoperatively, postoperatively, and at the follow-up visit (2 years postoperatively); visual analog scale (VAS)
more » ... scores before and after surgery; and Oswestry Disability Index (ODI) scores before and after surgery were compared between the two groups. Results: The Cobb angle and VAS and ODI scores were significantly improved in both groups after surgery. Significant differences were found in the operation time, intraoperative hemorrhage, Cobb angle correction, and loss of correction at the last follow-up. No significant differences were found in the VAS and ODI scores between the groups. Conclusions: The posterior approach is superior to the anterior approach with respect to the surgery time, intraoperative hemorrhage, and Cobb angle postoperatively and at the last followup. When both approaches can be carried out for a patient with lumbosacral tuberculosis, the posterior approach should be favored over the anterior approach.
doi:10.1177/0300060518764933 pmid:29584540 fatcat:mue3ibhxovb7pkyejsixrmu6de