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Research ArticleCervical Spine

Outcome Analysis of Subaxial Cervical Spine Tuberculosis Operated by the Anterior Approach: A Single-Center Experience

Sudhir Srivastava, Kunal Roy, Sunil Bhosale, Nandan Marathe, Aditya Raj and Rishi Agarwal
International Journal of Spine Surgery February 2021, 8002; DOI: https://doi.org/10.14444/8002
Sudhir Srivastava
Department of Orthopedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
MS (ORTHO)
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Kunal Roy
Department of Orthopedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
MS (ORTHO)
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Sunil Bhosale
Department of Orthopedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
MS (ORTHO)
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Nandan Marathe
Department of Orthopedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
MS (ORTHO)
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Aditya Raj
Department of Orthopedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
MS (ORTHO)
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Rishi Agarwal
Department of Orthopedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
MS (ORTHO)
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ABSTRACT

Introduction Though spinal tuberculosis has a predilection for the dorsal and lumbar spine, a high percentage of morbidity and mortality is associated with cervical tuberculosis. Cervical tuberculosis accounts for about 10% of cases, with the major concerns being quadriparesis/quadriplegia and kyphotic deformity. Herein we describe our experience with the use of anterior instrumentation with titanium implants in 46 patients with subaxial tuberculosis.

Materials and Methods Included in the study were a total of 46 patients with subaxial cervical (C3-C7) and upper dorsal (D1-D3) tuberculosis who underwent operations with anterior debridement, decompression, bone grafting, and anterior instrumentation by a single surgeon at our institute between January 2007 and December 2014. A review of the demographic data, medical records, and x-rays before and after surgery and at subsequent follow-ups was performed retrospectively from the departmental database.

Results Neurological involvement in the postoperative period was seen in 29 of the 30 patients, 26 of whom showed complete neurological recovery. The Cobb angle at presentation ranged from 2°–58° of kyphosis with an average kyphosis of 15.4°. The average lordosis after surgery was found to be 17.5° (ie, a mean correction of 32.9°).

Conclusions Anterior instrumentation of subaxial cervical tuberculosis with titanium implants provides good correction of kyphosis and provides reasonable neurologic recovery in patients and ensures a long-lasting functional outcome.

Level of evidence 4.

  • tuberculosis
  • subaxial cervical spine
  • anterior cervical instrumentation

Footnotes

  • Disclosures and COI: The authors received no funding for this study and report no conflicts of interest.

  • This manuscript is generously published free of charge by ISASS, the International Society for the Advancement of Spine Surgery. Copyright © 2021 ISASS
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International Journal of Spine Surgery: 19 (S2)
International Journal of Spine Surgery
Vol. 19, Issue S2
1 Apr 2025
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Outcome Analysis of Subaxial Cervical Spine Tuberculosis Operated by the Anterior Approach: A Single-Center Experience
Sudhir Srivastava, Kunal Roy, Sunil Bhosale, Nandan Marathe, Aditya Raj, Rishi Agarwal
International Journal of Spine Surgery Feb 2021, 8002; DOI: 10.14444/8002

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Outcome Analysis of Subaxial Cervical Spine Tuberculosis Operated by the Anterior Approach: A Single-Center Experience
Sudhir Srivastava, Kunal Roy, Sunil Bhosale, Nandan Marathe, Aditya Raj, Rishi Agarwal
International Journal of Spine Surgery Feb 2021, 8002; DOI: 10.14444/8002
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Keywords

  • tuberculosis
  • subaxial cervical spine
  • anterior cervical instrumentation

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