Orthonotes
Orthonotes
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v4.1 Fusion X
v4.1 Fusion X
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Spinal TB (Pott’s) — Anterior vs Posterior

First-line treatment is ATT with rest and bracing per Tuli’s 'middle path'. Surgical indications: neurological deficit not improving, instability/deformity, large abscess, severe pain, diagnostic uncertainty. Approach selection depends on pathology location and kyphosis: anterior debridement/fusion vs posterior decompression with instrumentation or combined 360°. Posterior‑only circumferential decompression via costotransversectomy/retropleural approaches is increasingly favored for multi‑level disease. Children risk progressive kyphosis—consider early stabilization and deformity prevention.

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First-line treatment is ATT with rest and bracing per Tuli’s 'middle path'. Surgical indications: neurological deficit not improving, instability/deformity, large abscess, severe pain, diagnostic uncertainty. Approach selection depends on pathology location and kyphosis: anterior debridement/fusion vs posterior decompression with instrumentation or combined 360°. Posterior‑only circumferential decompression via costotransversectomy/retropleural approaches is increasingly favored for multi‑level disease. Children risk progressive kyphosis—consider early stabilization and deformity prevention.
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