Skip to main content

Video-Assisted Thoracic Surgery for Tubercular Spondylitis

  • Chapter
  • First Online:

Abstract

The presentation of the use of video-assisted thoracic surgery (VATS) in the management of tubercular spondylitis (TS) is the scope of this chapter. Spinal tuberculosis (TB) usually responds to chemotherapy alone. However, the need for surgery in active stage is increasingly being recognized in the event of worsening neurological deficit and spinal instability. In the absence of major deformity, the major goal of surgery in (TS) is to achieve adequate cord decompression and debridement of the surrounding diseased tissue to achieve good healing with fusion. In this chapter, the role of VATS in (TS) is discussed. Its indication, contraindications, planning, surgical techniques, complications, and results as relevant to TB of the spine are elaborated.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Abbreviations

(D4-D9):

Dorsal 4th–9th vertebrae

ICS:

Intercostal space

MRI:

Magnetic resonance imaging

TB:

Tuberculosis

TS:

Tubercular spondylitis

VATS:

Video-assisted thoracic surgery

References

  1. World Health Organization (2008) Global tuberculosis control: surveillance, planning, financing. Publication no. WHO/HTM/TB/ 2008.393. World Health Organization, Geneva

    Google Scholar 

  2. Tuli SM (1975) Results of treatment of spinal tuberculosis by “middle-path” regime. J Bone Joint Surg Br 57B:13–23

    Google Scholar 

  3. Rajasekaran S, Soundarapandian S (1989) Progression of kyphosis in tuberculosis of spine treated by anterior arthrodesis. J Bone Joint Surg Am 71:1314–1323

    Article  CAS  PubMed  Google Scholar 

  4. Amini A, Beisse R, Schmidt MH (2005) Thoracoscopic spine surgery for decompression and stabilization of the anterolateral thoracolumbar spine. Neurosurg Focus 19:E4

    Article  PubMed  Google Scholar 

  5. Huang TJ, Hsu RW, Chen SH, Liu HP (2000) Video-assisted thoracoscopic surgery in managing tuberculous spondylitis. Clin Orthop Relat Res 379:143–153

    Article  Google Scholar 

  6. Jayaswal A, Upendra B, Ahmed A, Chowdhury B, Kumar A (2007) Video-assisted thoracoscopic anterior surgery for tuberculous spondylitis. Clin Orthop Relat Res 460:100–107

    PubMed  Google Scholar 

  7. Kandwal P, Garg B, Upendra BN, Chowdhury B, Jayaswal A (2012) Outcome of minimally invasive surgery in the management of tuberculous spondylitis. Indian J Orthop 46:159–164

    Article  PubMed  PubMed Central  Google Scholar 

  8. Kapoor SK, Agarwal PN, Jain BK Jr, Kumar R (2005) Videoassisted thoracoscopic decompression of tubercular spondylitis: clinical evaluation. Spine (Phila Pa 1976) 30:E605–E610

    Article  Google Scholar 

  9. Kapoor SK, Kapoor S, Agarwal M, Agarwal P, Jain BK Jr (2012) Thoracoscopic decompression in Pott’s spine and its long-term follow-up. Int Orthop 36:3331–3337

    Article  Google Scholar 

  10. Kim SJ, Sohn MJ, Ryoo JY, Kim YS, Whang CJ (2007) Clinical analysis of video-assisted thoracoscopic surgery in the thoracic or thoracolumbar spinal pathologies. J Korean Neurosurg Soc 42:293–297

    Article  PubMed  PubMed Central  Google Scholar 

  11. Singh R, Gogna P, Parsad S, Karwasra RK, Karwasra PK, Kaur K (2014) Video-assisted thoracic surgery for tubercular spondylitis. Minim Invasive Surg. Article ID 963497, 8 pages. http://dx.doi.org/10.1155/2014/963497

    Google Scholar 

  12. Hodgson AR, Stock FE (1960) Anterior spinal fusion for the treatment of tuberculosis of the spine. The operative findings and results of treatment in the first one hundred cases. J Bone Joint Surg Am 42A:295–310

    Article  Google Scholar 

  13. Lifeso RM, Weaver P, Harder EH (1985) Tuberculous spondylitis in adults. J Bone Joint Surg Am 67A:1405–1413

    Article  Google Scholar 

  14. Bakalim G (1960) Tuberculosis spondylitis a clinical study with special reference to the significance of spinal fusion and chemotherapy. Acta Orthop Scand (Suppl)47: 1-111

    Google Scholar 

  15. Mack MJ, Regan JJ, Bobechko WP, Acuff TE (1993) Application of thoracoscopy for diseases of the spine. Ann Thorac Surg 56:736–738

    Article  CAS  PubMed  Google Scholar 

  16. McAfee PC, Regan JJ, Zdeblick T (1995) The incidence of complications in endoscopic anterior thoracolumbar spinal reconstructive surgery: a prospective multicentre study comprising the first 100 consecutive cases. Spine 14:1624–1632

    Article  Google Scholar 

  17. Regan JJ, Mack MJ, Picetti GD (1995) A technical report on video-assisted thoracoscopy in thoracic spinal surgery—preliminary description. Spine 20:831–837

    Article  CAS  PubMed  Google Scholar 

  18. Bloomberg AE (1978) Collective reviews: thoracoscopy in perspective. Surg Gynecol Obstet 147:433–443

    CAS  PubMed  Google Scholar 

  19. Dickman CA, Rosenthal DJ, Perin NI (1999) Thoracoscopic spine surgery, 1st edn. Thieme-Verlag, New York

    Google Scholar 

  20. Jacobaeus HC (1910) Possibility of the use of cystoscope for investigations of serous cavities. Munch Med Wochenschr 57:2090–2092

    Google Scholar 

  21. Jacobaeus HC (1921) The practical importance of thoracoscopy on surgery of the chest. Surg Gynecol Obstet 32:493–500

    Google Scholar 

  22. Regan JJ, Guyer RD (1997) Endoscopic technique in spinal surgery. Clin Orthop 225:122–139

    Google Scholar 

  23. Regan JJ, Ben-Yishay A, Mack MJ (1998) Video-assisted thoracoscopic excision of herniated thoracic disc. Description of technique and preliminary experience in first 29 cases. J Spinal Disord 11(13):183–191

    CAS  PubMed  Google Scholar 

  24. Rosenthal D, Rosenthal R, de Simone A (1994) Removal of a protruded thoracic disc using microsurgical endoscopy. A new technique. Spine 19:1087–1091

    Article  CAS  PubMed  Google Scholar 

  25. Regan JJ, Mack MJ (1995) Endoscopic approach strategies. In: Regan JJ, McAffee PJ, Mack MJ (eds) Atlas of endoscopic spine surgery, 1st edn. Quality Medical Publishing, St. Louis, pp 117–136

    Google Scholar 

  26. Rosenthal D, Marquardt G, Lorenz et al (1996) Anterior decompression and stabilization using a microsurgical endoscopic technique for metastatic tumours of the thoracic spine. J Neurosurg 84:565B–572B

    Article  Google Scholar 

  27. Heider F, Beisse R (2012) Anterior thoracoscopic approaches, including fracture treatment. In: Hartl R, Korge A (eds) Minimally invasive spine surgery- technique, evidence, and controversies. Thieme Verlag, New York, pp 191–207

    Google Scholar 

  28. Lieberman IH, McLain RF, Truumees E, Brebach GT (2004) Positioning and approaches to the thoracolumbar spine. Endoscopic and minimally invasive approaches. In: Frymore JW, Weisel SW (eds) The adult and pediatric spine, 3rd edn. Lippincott Williams & Wilkins, Philadelphia, pp 1061–1080

    Google Scholar 

  29. Lieberman IH, Salo PT, Orr RD, Brenda K (2000) Prone position endoscopic transthoracic release with simultaneous posterior instrumentation for spinal deformity: a description of technique. Spine 25:2251–2257

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Roop Singh MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Singh, R. (2017). Video-Assisted Thoracic Surgery for Tubercular Spondylitis. In: Turgut, M., Akhaddar, A., Turgut, A., Garg, R. (eds) Tuberculosis of the Central Nervous System. Springer, Cham. https://doi.org/10.1007/978-3-319-50712-5_21

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-50712-5_21

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-50711-8

  • Online ISBN: 978-3-319-50712-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics