Open AccessOutcome analysis of anterior reconstruction with rib grafts in tuberculosis of the thoracic spine
Author(s) -
Sudhir Srivastava,
Nandan Marathe,
Sunil Bhosale,
Aditya Raj,
Shaligram Purohit,
Ashraf Shaikh,
Kiran Dhole
Publication year - 2020
Publication title -
asian journal of neurosurgery
Language(s) - English
Resource type - Journals
ISSN - 2248-9614
DOI - 10.4103/ajns.ajns_52_20
Subject(s) - medicine , surgery , rib cage , visual analogue scale , vertebral column , kyphosis , radiography , pelvis , thoracic vertebrae , radiological weapon , radiology , lumbar , lumbar vertebrae , anatomy
Tricortical iliac bone is the gold standard as an autograft for the reconstruction of the anterior column in tuberculosis (TB) of the thoracic spine. However, the quantity of graft needed is significant. It creates a considerable defect in the pelvic bone, causing graft site complications, including pain, pelvic instability, fractured ilium, herniated muscle, or abdominal contents. To prevent these donor site morbidities, ribs that were removed during the versatile approach were used for anterior reconstruction. The aim of this study was to assess the clinical and radiological results of the reconstruction of the anterior column of the spine with the help of an excised rib during the versatile approach.