A study on clinicoradiological outcome of posterior and posterolateral decompression and stablisation with pedicle screws and fusion for tuberculosis of dorsal and lumber spine

Abstract

Background: Tuberculosis is ubiquitous in distribution. Globally, early 30 million people suffer from tuberculosis. In this study we clinico radio logically evaluated the outcome of posterior and postero lateral decompression, stabilisation with pedicle screws and fusion for tuberculosis of dorsal and lumbar spin Aim of the study: The aim of this prospective study is to analyse the clinico radiological outcome of posterior and postero lateral decompression, stabilisation with pedicle screws and fusion for tuberculosis of dorsal and lumbar spine and to study the improvement in the angle of kyphosis. Materials: The study was conducted with 15 patients of Tuberculosis of Dorsal and Lumbar spine from July 2017 to June 2019 in our Govt Theni medical College Hospital. Results: The mean preoperative Visual analog score was 8.7 (range7-10) which improved to 1.7(1-4) at final follow up. Post operatively Frankel score of the patients very much improved. The mean preoperative kyphosis in the thoracic and thoracolumbar spine was 27.9 degrees which was corrected to a mean of 9.5 degrees in the final follow up. Conclusions: It facilitates early mobilization and avoids problems of prolonged recumbency. It provides better functional outcome and significantly better sagittal plane and kyphosis correction.