Kyphosis in spinal tuberculosis - Prevention and correction

Area of Science:

• Orthopedics
• Infectious Diseases
• Neurosurgery

Background:

• Spinal tuberculosis (TB) frequently results in deformity, most commonly kyphosis.
• Kyphosis progression can occur even after treatment, leading to significant long-term complications.

Purpose of the Study:

• To highlight the complications of spinal TB-induced kyphosis.
• To emphasize the importance of early diagnosis and surgical intervention for kyphosis correction.

Main Methods:

• Review of complications associated with spinal TB and kyphosis.
• Description of surgical techniques for kyphosis correction, including decompression, corpectomy, and fusion.
• Mention of internal kyphectomy for late-onset paraplegia.

Main Results:

• Untreated or progressive kyphosis leads to reduced vital capacity, spinal stenosis, and paraplegia.
• Surgical correction aims to prevent further progression and correct existing deformities.
• Early intervention is key to avoiding long-term sequelae.

Conclusions:

• Early diagnosis and management of spinal TB are essential to minimize kyphosis.
• Surgical correction of significant kyphosis (over 50 degrees) is recommended to prevent debilitating complications.
• Effective management strategies can improve quality of life for patients with spinal TB.