Video-Assisted Thoracic Surgery for Tubercular Spondylitis
Tubercular spondylitisthoracic (D9-D10) with neurologic deficit. VATS along with minithoracotomy and placement of bone graft was done. Conversion to minithoracotomy was done because of dense pleural adhesions and difficulty in making portals was also encountered. Excellent subjective outcome and improvement in all laboratory and radiological (MRI, CT, and X-rays) parameters was seen by the end of 12 months. Patient attained ambulatory power (Grade A neurological deficit preoperatively) within 6 months of surgery. Grade I fusion was achieved at 12 months. (a) shows initial, 6-month, and 12-month X-rays and CT scan of the patient. (b) shows initial, 6-month, and 12-month sagittal and axial T1-weighted images. Disease completely healed at 12 months. (c) shows initial, 6-month, and 12-month sagittal and axial T2-weighted images. Disease completely healed at 12 months.