All the following are possible surgical interventions in tuberculosis of the spine except
|A||Posterior spinal fusion to minimize development of sever kyphosis|
|B||Laminectomy to decompress the cord in anterior paradiscal TB lesion|
|C||Costotransversectomy to drain fluid and abscess|
|D||Anterolateral decompression of bott and Alexander|
Laminectomy to decompress the cord in anterior paradiscal TB lesion
a. In the usual anterior paradiscal type of TB spine the compression of the cord takes place primarily and maximally anteriorly.
b. Therefore it is rational to adequately decompress the cord anteriorly by anterior or anterolateral approach.
c. Laminectomy for decompression is contraindicated as this procedure is inadequate for decompression of the anterior part of the cord besides it removes the health areas of the vertebrae thus rendering the vertebral column unstable and liable for pathological dislocation.