Dorsal SPINE TB MANAGEMENT BY MEHTA AND BHOJRAJ

According to  MEHTA AND BHOJRAJ 

Group A - Paradiscal and Central Involvement 

                    transpleural debridement with fusion (no instrumentation )

note - if Arthrodesis also required , then use transpleural approach instead of costotranseversectomy)

Group B - Group A + Deformity 

                    mx A + Instrumentation 

Group C  - to ill to undergo transpleural surgery 

                    transpedicular decompression and posterior instrumentation 

Group D - Posterior involvement only 

                 posterior decomression only