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Updated: Jun 21, 2026
03:47
A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
Published on: October 25, 2024
Anterior surgical interventions in spinal tuberculosis
Obaid-ur-Rahman1, Saleem Ahmad, Tayyab Hussain
1Department of Orthopaedic Surgery, Rawalpindi General Hospital, Rawalpindi. drobaid@hotmail.com
Summary
The modified Hong Kong procedure effectively treats spinal tuberculosis (TB), significantly improving neurological function. Adding instrumentation enhances kyphotic correction, though neurological recovery remains similar between groups.
Area of Science:
- Orthopedics
- Neurosurgery
- Infectious Diseases
Background:
- Spinal tuberculosis (TB) presents significant neurological and orthopedic challenges.
- The modified Hong Kong procedure is a treatment option for spinal TB.
Purpose of the Study:
- To compare the modified Hong Kong procedure with and without additional instrumentation.
- To evaluate improvements in neurological and kyphotic disabilities in spinal TB patients.
Main Methods:
- A quasi-experimental study involving 62 spinal TB cases.
- Patients were divided into two groups: 44 without instrumentation and 18 with anterior instrumentation.
- Neurological status (Frankel classification) and kyphotic angle were assessed post-operatively.
Main Results:
- Overall neurological improvement averaged 1.1 Frankel grade (p < 0.05), with no significant difference between groups (p = 0.272).
- Kyphotic angle correction was 2.8 degrees without instrumentation versus 8.9 degrees with instrumentation (p < 0.05).
Conclusions:
- The modified Hong Kong procedure alone yields significant neurological recovery in spinal TB.
- Anterior instrumentation provides superior and sustained correction of kyphosis.
