Journal of Gandhara Medical and Dental Sciences (Apr 2023)

FUNCTIONAL OUTCOME AFTER DECOMPRESSION FOR DORSAL SPINE TUBERCULOSIS SURGREIS

  • Muhammad Ayub Khan,
  • Fazli Wadud,
  • Muhammad Shakeel,
  • Saad Ali,
  • Ammad Ali,
  • Muhammad Shahzad

DOI
https://doi.org/10.37762/jgmds.10-2.357
Journal volume & issue
Vol. 10, no. 2

Abstract

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OBJECTIVE: functional outcome of improvement after decompression for dorsal spine tuberculosis in terms of frankle grading. METHODOLOGY: This prospective study was conducted after ethical approval at neurosurgical ward mmc/mti through non-probability sampling. Clinical and radiological examined patients with carriers of dorsal spine tuberculosis were enrolled in study. After surgery they were followed for three months and improvement were measured comparing pre and post op Frankle grading. RESULTS: Total of 38 patients underwent surgical procedure decompression ± fusion through postero-lat approach (costotransversectomy) in which 42% were male and 58% were female. Mean age was 34±5. Distribution for age group was 18-30(08), 31-40(13), and 51-60 (06). Level of disease D4-D8 were 17(44.8%), D9-D12 were 21(55.2%). CONCLUSION: decompression and stabilization in spine tuberculosis is safe, effective and results in good outcome clinically. The advantages of surgery include through debridement, decompression and achievement of spinal stabilization. KEY WORDS: Dorsal spine tuberculosis, corpectomy with fusion, laminectomy, outcome measures

Keywords