Letter to the Editor: Spinal Tuberculosis: Which Is the Best Surgical Approach?

We read the article entitled ‘Outcomes of different surgical procedures in the treatment of spinal tuberculosis in adults by Cui et al. with great interest. Despite being an age old disease debate still surrounds the choice of approach. The authors concluded that posterior approach was superior to anterior approach for correcting deformity and maintaining correction. However, this conclusion is drawn from study groups that were not comparable from the beginning. There were statistically significant differences in the preoperative kyphosis angle in the anterior and posterior groups. Hence, the conclusion may not be appropriate.