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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 7, 925-927.
doi: 10.1302/0301-620X.88B7.17366  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Pedicle subtraction osteotomy for rigid post-tuberculous kyphosis

K. P. Kalra, DNB(Diplomate of National Board), DOrth, MBBS, Consultant Orthopaedic Surgeon1; S. B. Dhar, MS, DNB, MBBS, Associate Professor1; G. Shetty, MBBS, Senior Resident1; and Q. Dhariwal, MS, FCPS, DOrth, MBBS, Senior Resident1

1 Department of Orthopaedics, T. N. Medical College and BYL Nair Hospital, Mumbai-400008, India.

Correspondence should be sent to Dr K. Kalra; e-mail: drkkalra{at}gmail.com

We studied 15 patients with healed tuberculosis of the spine and a resultant kyphosis. We selected only those with no neurological deficit and performed a wedge resection of the vertebra using a transpedicular approach. The wedge was removed from the apex of the deformity. For those with a neurological deficit, we chose the conventional anterior debridement and decompression with 360° circumferential fusion. At a mean follow-up of 26.8 months (8 to 46) the outcome was good with an increase in the mean Oswestry Disability Index from 56.26 (48 to 62) pre-operatively to 11.2 (6 to 16) at the latest follow-up.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General