Video Atlas : Thoracotomy approach for spinal tuberculosis

This is a surgical technique video of anterior thoracotomy approach for spinal tuberculosis. This approach was popularised by Arthur Hodgson from Hong Kong in the 1970s. As spinal tuberculosis mostly affects the anterior column, this approach provides an excellent visualisation of the pathology and allows for a direct visual on the anterior epidural abscess. This procedure has become uncommon in the last decade as most surgeons are comfortable with a posterior transpedicular approach for this pathology. A consequence of this trend is that young trainees are not exposed to this technique as frequently. Hope this surgical video can be a substitute for this inadequacy.

Management of Spinal tuberculosis

Treatment of spinal tuberculosis – presented at the Postgraduate teaching course held at KEM Hospital, Mumbai in March 2016.
The talk highlights steps in diagnostic workup and treatment algorithm for management of spinal tuberculosis.
Please see notes attached to clinical slides. They contain details about clinical presentation and treatment approach chosen for the cases presented.

For more information, download the PDF of our review article on Spinal tuberculosis published in Journal of Clinical Orthopaedics here:

Spinal tuberculosis – an Update | Journal of Clinical Orthopaedics

Spinal tuberculosis – an update

Please read our recently published review on spinal tuberculosis in Journal of Clinical Orthopaedics – an initiative of the Bombay Orthopaedic Society.

Chaudhary K, Dhawale A, Chaddha R, Laheri V. Spinal Tuberculosis – an Update. Journal of Clinical Orthopaedics Jan – June 2017; 2(1):31-42.

The focus of this article is on nonoperative treatment of spinal tuberculosis with details about diagnostic protocols and antibiotic therapy.

Following is the abstract:

“Musculoskeletal tuberculosis, especially spinal tuberculosis is a challenging scenario. The disease presentation varies and profile of the organism is changing rapidly with the rise of antibiotic resistance. The management protocols need to be revisited in light of new information and current review is aimed at achieving this goal. This review article is a summary of the symposium conducted by Bombay Orthopaedic Society at KEM Hospital in November 2016. The focus of this discussion was primarily on nonoperative management of spinal tuberculosis including a focus on diagnostic protocol and medical management controversies. Surgical aspect of the disease is also covered with recent advances in the spine surgical protocols mentioned in brief.”