A Retrospective Observational Assessment of the Surgical Management of Spinal Tuberculosis
Creators
- 1. Senior Consultant, Department of Orthopaedics, Fort U Mediemergency Hospital, Patna, Bihar, India
- 2. Senior Consultant, Department of Neurosurgery, Fort U Mediemergency Hospital, Patna, Bihar, India
- 3. Senior Consultant, Department of General Surgery, Fort U Mediemergency Hospital, Patna, Bihar, India
- 4. Senior Consultant, Department of Skin & VD, Fort U Mediemergency Hospital, Patna, Bihar, India
Description
Aim: The aim of the present study was to evaluate the surgical management of spinal TB. Methods: The present study was conducted in the Department of Orthopaedics, Fort U Mediemergency Hospital, Patna, Bihar, India. We studied all the patients with spinal TB who presented with or without motor deficits due to spinal TB admitted and surgically treated in the hospital for 1 year. Results: A total of 100 patients were included in the study. Out of which, 60 were males and 40 were females. The average age group is 45.5 years, the youngest being 18 years and the oldest 60 years. No gender‑related difference was seen in our study. The most common site of involvement was thoracic followed by lumbar, cervical, and thoracolumbar. Pain was the most common symptom, and weakness was seen in 40 patients, 25 of whom had epidural compression. Conclusion: Surgical treatment is a safe and effective approach to treat spinal tuberculosis infection. Although in less severe cases image-guided percutaneous aspiration and posterior percutaneous fixation can be an excellent therapeutic choice, in severe cases with large abscesses and extensive vertebral column involvement, aggressive treatment with direct aspiration and debridement, anterior reconstruction and posterior instrumentation can result in a rapid recovery and acceptable rate of complications.
Abstract (English)
Aim: The aim of the present study was to evaluate the surgical management of spinal TB. Methods: The present study was conducted in the Department of Orthopaedics, Fort U Mediemergency Hospital, Patna, Bihar, India. We studied all the patients with spinal TB who presented with or without motor deficits due to spinal TB admitted and surgically treated in the hospital for 1 year. Results: A total of 100 patients were included in the study. Out of which, 60 were males and 40 were females. The average age group is 45.5 years, the youngest being 18 years and the oldest 60 years. No gender‑related difference was seen in our study. The most common site of involvement was thoracic followed by lumbar, cervical, and thoracolumbar. Pain was the most common symptom, and weakness was seen in 40 patients, 25 of whom had epidural compression. Conclusion: Surgical treatment is a safe and effective approach to treat spinal tuberculosis infection. Although in less severe cases image-guided percutaneous aspiration and posterior percutaneous fixation can be an excellent therapeutic choice, in severe cases with large abscesses and extensive vertebral column involvement, aggressive treatment with direct aspiration and debridement, anterior reconstruction and posterior instrumentation can result in a rapid recovery and acceptable rate of complications.
Files
IJPCR,Vol14,Issue8,Article128.pdf
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Additional details
Dates
- Accepted
-
2022-07-23
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/14/IJPCR,Vol14,Issue8,Article128.pdf
- Development Status
- Active
References
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