Comparison of One-Stage (Posterior-Only Approach) and Two-Stage (Combined Anterior-Posterior Approach) Surgery in Treating Spinal Tuberculosis
Ali Andalib, Majid Rezvani, Soroush KazeraniAbstract
Background:
Limited research has examined the effectiveness of posterior-only versus combined anterior-posterior surgical techniques for spinal tuberculosis (STB). This study sought to assess and compare these two surgical methods.
Materials and Methods:
We conducted a prospective review of 20 patients with STB who received a posterior-only intervention (group A) and 20 patients who underwent a combined anterior-posterior procedure (group B). We analyzed and compared the outcomes of both groups.
Results:
Both groups showed significant improvements in the visual analogue scale and Oswestry Disability Index; however, there were no significant differences between the two groups. The average hospital stay for group A was significantly shorter (
Conclusion:
Both the combined anterior-posterior and posterior-only surgical approaches can yield satisfactory clinical and radiological results in treating STB. Conversely, the posterior-only approach effectively achieves lesion debridement, decompression, and the maintenance of stability, along with the potential benefit of a reduced hospital stay.