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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(02): 479-482
DOI: 10.4103/ajns.AJNS_274_18
Original Article

Outcome analysis of posterolateral decompression and spinal stabilization for tuberculous spine

Siddartha Musali
Department of Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana
,
Prakash Gollapudi
Department of Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana
,
Srikrishnaaditya Manne
Department of Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana
,
Nagarjuna Butkuri
Department of Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana
,
Thatikonda Kumar
Department of Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana
,
Vamshi Kotha
1   Department of Neurosurgery, Nizams Institute of Medical Sciences, Hyderabad, Telangana
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Aim: This is a prospective study to analyze the clinical, radiological, and functional outcomes of posterolateral decompression and spinal stabilization with pedicle screws and rods done for the thoracolumbar tuberculous spine. Materials and Methods: This study was conducted at Gandhi Medical College and Hospital from September 2016 to September 2017 on 30 patients who underwent posterolateral decompression and spinal stabilization using pedicle screw and rod fixation for active spinal tuberculosis. Pain, erythrocyte sedimentation rate (ESR), kyphotic angle correction, and Frankel's grading were taken to study the clinical, radiological, and functional outcome at the end of 1 year. Other parameters taken into consideration were the duration of stay and level of involvement; antituberculous therapy was given to all the patients for 16–18 months until the signs of radiological healing were evident. Results: This study comprised of 30 patients with a mean age of presentation of 39.835 ± 14.75 and M: F ratio of 1:1. The mean duration of stay is 10.67 ± 4.06, and the most common level of involvement is D6–D11. Kyphotic angle was corrected by a mean of 19.08 ± 5.44 at the end of 1 year (P < 0.001). Visual analog score improved from a median of 8 preoperatively to 2 at follow-up (P < 0.001). ESR improved from a mean of 37.08 ± 12.64 mm/h preoperatively to 19.83 ± 13.68 mm/h at follow-up (P = 0.01). There was an improvement in Frankel's grading in most of the patients at the end of 12 months. Radiological healing was evident in the form of the reappearance of trabeculae formation and bony fusion at the end of 12 months. Conclusion: Posterolateral approach is a good method for decompression and spinal stabilization because of significant kyphotic correction, improvement in pain, good neurological recovery, less duration of stay, and less morbidity.

Key-words:

Outcomes - posterolateral decompression - spinal fixation - tuberculous spine

Financial support and sponsorship

Nil.




Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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