Subeg SinghGGS Medical College & Hospital, India
Title: Assessment of efficacy of transpedicular decompression and stabilisation in patients with Tuberculous Spondylodiscitis with incomplete neurology
Background: Tuberculosis [TB] of the spine is still a common infectious disease entity, not only in developing countries but also returning in developed countries especially in the immuno-compromised patients. The transpedicular approach overcomes all these issues as it allows circumferential decompression of neural elements along with three-column fixation attained via pedicle screws by the same approach.Hence; under the light of above mentioned data, the present study was undertaken for assessing the efficacy of Transpedicular Decompression and Stabilisation in Patients with Tuberculous Spondylodiscitis with Incomplete Neurology.
Materials & methods: A total of 20 patients were enrolled. Complete demographic and clinical details of all the patients were obtained. Patients diagnosed with upto 2 segments of spondylodiscitis tubercular were assessed clinically, fucntionally preoperatively in terms of VAS and ODI scores. Radiologically the pre-operative kyphosis angle was calculated. Post operatively the patients were assessed immediately and at 3 and 12 months post operatively. All the results were recorded and analysed by SPSS software.
Results: Time of bony union was 23.9 weeks. Mean VAS at preoperative, 3 months postoperative and 12 months postoperative time interval was 8.3, 2.9 and 1.8 respectively. Mean ODI at preoperative, 3 months postoperative and 12 months postoperative time interval was 38.6, 17.3 and 3.9 respectively. Significant results were obtained while comparing the mean VAS and ODI at different time intervals.
Conclusion: Long-term neurological improvement is achieved only via the posterior transpedicular approach in spinal TB patients.
Keywords: Spinal, Transpedicular, Tuberculous.
To be updated