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Role of Full Endoscopic Procedures in Management of Tuberculosis of Spine

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Tuberculosis of the Spine

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Abstract

The treatment of spinal tuberculosis in the present era has become more complex because of the rise in immunocompromised conditions like HIV, diabetes mellitus and presence of drug-resistant tuberculosis. Tissue biopsy is always the mainstay treatment in uncomplicated spinal TB, whereas surgery is necessary in complicated spinal TB. Minimally invasive spine surgeries (MIS) are commonly used in the management of degenerative spinal conditions. Full endoscopic surgeries, a type of MIS surgeries, are already established techniques in the management of disc herniations and spinal stenosis. In this chapter we discuss in detail the role of full endoscopy in obtaining tissue biopsy, their efficacy in debridement of the lesion and instrumented fusion when necessary in select cases. We have compared their effectiveness with current standard procedures like CT-guided biopsy and open surgical procedures like anterior debridement and fusion. We have also discussed the indications and limitations of these procedures.

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Authors and Affiliations

  1. Department of Orthopedics, SKN Medical College & Hospital, Pune, India

    Pramod V. Lokhande

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  1. Department of Orthopaedics, Post Graduate Institute of Medical Education and Research, Chandigarh, Punjab, India

    Sarvdeep Singh Dhatt

  2. Department of Orthopaedics, Post Graduate Institute of Medical Education and Research, Chandigarh, Punjab, India

    Vishal Kumar

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Lokhande, P.V. (2022). Role of Full Endoscopic Procedures in Management of Tuberculosis of Spine. In: Dhatt, S.S., Kumar, V. (eds) Tuberculosis of the Spine. Springer, Singapore. https://doi.org/10.1007/978-981-16-9495-0_23

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  • DOI: https://doi.org/10.1007/978-981-16-9495-0_23

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