Spinal Tuberculosis: Decompression and Stabilization by single posterior approach: A Multi-Centric Cohort study
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2018, Vol 30, Issue 03
Abstract
Objective: To determine functional and fusion outcomes of postero-lateral decompression in spinal tuberculosis. Methods: This multi-centric study was done from January 2014 to December 2017. We included 52 patients with spinal tuberculosis spondylitis between 15 to 60 years of age of both genders diagnosed on history, routine investigation and magnetic resonance imaging (MRI). All patients were operated via posterior approach under C-arm. We stabilized the involved vertebrae with pedicle screws involving one motion segments above and below. Tuberculosis abscess was drained and decompression of the spinal cord was done. All patient’s fusion and functional outcome was assessed using Oswesrty Disability Index. We followed patient post-operative 2 weeks, 6 weeks, 12 weeks, 6 months and 1 year. Results: Amongst the total 52 patients, there were 36 (69.2%) male and 16 (32.8%) female. Mean age of the patients was 24.615±12.281 with maximum patients between 16 to 30 years of age. There were 19 (36.4%) cases of lumbar spine, 16 (30.7%) dorsal spine and 17 (32.9%) dorso-lumbar spine. Mean surgical time from start of time till closure was 101.8654±16.88. There was improvement in Oswestry disability index post-operatively, and out of total 51 patients 43 (84.31%) had no disability and only 06 (11.76%) had moderate disability and 02 (3.9%) has sever disability. Conclusion: Posterolateral decompression in patients with spinal tuberculosis has good functional and fusion outcome.
Authors and Affiliations
Mian Muhammad Hanif, Khizar Ghalib, Muhammad Khalid ur Rehman,Abhishek Kumar Thakur
Keywords
Related Articles
- EP ID EP741698
- DOI -
- Views 76
- Downloads 0
Osteomyelitis of the Foot among Patients Presenting with Diabetic Foot Ulcers: A Retrospective Analysis
Objective: To assess the prevalence of osteomyelitis of the foot, diagnostic accuracy of investigations and outcome of conservative treatment in patients presenting with non-healing diabetic foot ulcers at the outpatient...
Frequency of Different Bacteria and their Antibiotics Sensitivity Pattern in Chronic Osteomyelitis
Objective: To determine the frequency of different bacteria and their antibiotic sensitivity patterns in patients presenting with chronic Osteomyelitis. Methods: This descriptive study was conducted in Orthopedics and...
Functional Outcome After Open Reduction Internal Fixation (ORIF) Clavicle Using 1/3 Semitubular Plate
Objective: To evaluate the functional outcome of ORIF clavicle using DASH score Methods: This is a retrospective study of prospectively collected data. Patients presented to the Orthopedic Surgery department of TO Cli...
Effect of Plasma Enriched with Platelets in Mild to Moderate Osteoarthritis of Knee Joint.
Objective: To determine the effectivity of Plasma enriched with platelets in early knee articular-arthritis Methodology: 125 patients who were added in the study, were of either gender with early knee osteoarthritis (...
Clinical Features and Short-Term Outcome Analysis of Anterior Cervical Discectomy; Effect of Instrumented Vs Non-Instrumented Fusion
To study the effects of instrumented vs non-instrumented anterior cervical decompression & fusion procedures for various degenerative cervical disorders in terms of improvements in pain & disability. Methods: Twenty t...