Full Article: PDF
Scientific Object Identifier: http://s-o-i.org/1.1/TAS-09-65-22
DOI: https://dx.doi.org/10.15863/TAS.2018.09.65.22
Language: English
Citation: Ayyaz Afzal HM, Zulfiqar V, Liaqat H (2018) MANAGEMENT OF T.B SPINE WITH ANTERIOR CAGE FIXATION AND OUTCOME. ISJ Theoretical & Applied Science, 09 (65): 139-143. Soi: http://s-o-i.org/1.1/TAS-09-65-22 Doi: https://dx.doi.org/10.15863/TAS.2018.09.65.22 |
Pages: 139-143
Published: 30.09.2018
Abstract: Objective: To find out role of anterior cage fixation in management of tuberculosis of dorsal spine and its outcome. Study Design and Duration: This is a prospective study completed in duration of 12 months from June 2017 to May 2018. Setting: This study was done in a tertiary care hospital, Khyber Teaching Hospital Peshawar, Pakistan. Patients and Methods: Patients presented to the study hospital with spinal tuberculosis were included in this study. Diagnosis was established on the basis of history, examination, X-ray and MRI spine. Additional investigations were also done to support diagnosis such as CBC with ESR and histological examination of biopsy after surgery confirmed the diagnosis. Patients were told about the disease severity and its possible management options either conservative or surgical and they were also informed about the outcome of each option. Patients, who refused surgery, were excluded from the study. Such cases were managed conservatively. A written informed consent taken from all patients before surgery and additional consent was also taken for including their data in the study. Permission was taken from ethical committee of the hospital for conducting study. These cases were admitted in the neurosurgical ward of the study hospital. After getting all investigations and anesthesia fitness they were prepared for surgery. Hospital stay of these patients was 7-15 days. In these cases anterior spinal decompression done and internal fixation using cage was performed. All data collected was analyzed and results presented in tabular forms and using graphs. Results: Total 53 cases were selected for the study initially and 3 cases refused surgical management so they were excluded and 50 cases were operated. Frankle grading system was used for determining severity of disease and deciding management plan accordingly. According to this system 18 cases were having grade-A, 9 cases with grade-B, 10 cases had grade-C, 8 cases with grade-D and 5 cases were having grade-E. Age range was 10-74 years with mean age of 43 years. There were 56% male and 44% female cases. 16% cases were having age 10-20 years, 30% with 21-30 years, 18% with 31-40 years, 8% with 41-50 years, 12% with 51-60 years, 10% between 61-70 years and 6% cases were above 70 years of age. Out of 50 cases 42 were operated having neurological deficit. Conclusion: Anterior spine decompression and internal fixation with cage is a procedure of choice in the management of dorsal spinal tuberculosis. This procedure is associated with some complications but overall success rate is high.
Key words: Spinal tuberculosis, Internal spinal fixation, Anterior cage fixation, Pots disease, Carries spine.
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