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Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
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Related Experiment Video

Updated: May 14, 2026

Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
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FUNCTIONAL AND RADIOLOGICAL OUTCOME FOLLOWING EXTENDED POSTERIOR CIRCUMFERENTIAL DECOMPRESSION IN THE TUBERCULOSIS OF

U Farook1, D Rajarajan1, S Ramkumar2

  • 11Department of Orthopedics, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pillaiyarkuppam, Pondicherry, India.

Georgian Medical News
|March 19, 2024
PubMed
Summary

Extended Posterior Circumferential Decompression (EPCD) effectively treats spinal tuberculosis by decompressing the spinal cord and stabilizing the spine. This surgical technique shows improved functional and radiological outcomes in patients with tuberculous spondylitis.

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Area of Science:

  • Orthopedics
  • Neurosurgery
  • Infectious Diseases

Background:

  • Spinal tuberculosis (tuberculous spondylitis) is a common extrapulmonary manifestation of tuberculosis.
  • Effective management requires addressing infection, spinal instability, and neurological deficits.

Purpose of the Study:

  • To evaluate the functional and radiological outcomes of Extended Posterior Circumferential Decompression (EPCD) for dorsal spine tuberculosis.

Main Methods:

  • A prospective study included 10 patients with dorsal spinal tuberculosis treated with EPCD between July 2019 and December 2021.
  • Patients were assessed preoperatively, immediately postoperatively, and at 9-month follow-up using Visual Analog Scale (VAS), Medical Research Council (MRC) grading, Frankel grading, kyphosis angle, and Erythrocyte Sedimentation Rate (ESR).

Main Results:

  • All 10 patients completed the 9-month follow-up.
  • Significant improvements were observed in VAS, MRC, Frankel grading, ESR values, and kyphosis angle at 9 months compared to preoperative assessments.
  • The EPCD technique provided effective decompression and stability with diminished morbidity compared to traditional approaches.

Conclusions:

  • Extended Posterior Circumferential Decompression (EPCD) is an effective surgical option for spinal tuberculosis, offering good kyphosis correction, surgical decompression, and improved functional outcomes.
  • This technique facilitates early mobilization and avoids complications associated with thoracotomy and laparotomy.