Journal of Orthopaedic Surgery and Research, 2025 · DOI: https://doi.org/10.1186/s13018-025-05595-5 · Published: February 10, 2025
This study investigates a modified surgical technique called modified posterior vertebral column resection (mPVCR) for treating severe kyphosis resulting from spinal tuberculosis in adults. The goal of the surgery is to correct the spinal deformity, relieve nerve compression, and improve the patient's quality of life. The study found that mPVCR is a safe and effective surgical option that can significantly improve kyphosis angle, sagittal vertical axis, and patient-reported outcomes.
mPVCR can be considered a viable surgical option for adults with severe PTK, particularly when aggressive correction is needed.
The delayed resection of posterior elements in mPVCR may contribute to reducing intraoperative blood loss and iatrogenic spinal cord injury.
Appropriate correction, while avoiding overcorrection, can lead to improved neurological outcomes and overall quality of life for patients with severe PTK.