• Quanyue Jiang, Kai Chen, Yuehui Cui, and Shengchun Liu.
• Department of Orthopedics, Shenyang Tenth People's Hospital, Shenyang, Liaoning, China.
• World Neurosurg. 2024 Jan 1; 181: e1093e1101e1093-e1101.

BackgroundThe surgical treatment of thoracic spinal tuberculosis has garnered enormous interest from researchers toward the development of posterior surgical techniques that have contributed to greater use of the 1-stage posterior approach. This study aims to demonstrate the initial clinical experience of a modified total posterior approach, in which the 1-stage posterior approach preserves the posterior spinal column structure by combining with the endoprosthetic implant fusion for thoracic spinal tuberculosis.MethodsIn this clinical study, we intended to report the initial idea of a modified total posterior approach. In detail, a 1-stage posterior approach was applied to preserve the posterior spinal column structure that could be applied to clinical practice.ResultsThe employed practical procedure presented a reduced duration of surgical intervention and intraoperative trauma. Nevertheless, further studies with large samples and multiple centers are required to explore the idea comprehensively.ConclusionsThis approach offered some advantages in terms of intraoperative exposure, blood loss volume, and length of surgery. Further, multicenter studies with large samples are needed to understand the precise effects and implications of the approach.Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.

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