Surgical results in patients with tuberculosis of the spine and severe lower-extremity motor deficits: a retrospective study of 48 patients

Kiran, Narayanam Anantha Sai; Vaishya, Sandeep; Kale, Shashank Sharad; Sharma, Bhavani Shankar; Mahapatra, Ashok Kumar

doi:10.3171/spi.2007.6.4.320

Cited by 39 publications

(54 citation statements)

References 22 publications

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“…As these patients also get conservative management in the form of anti-tubercular treatment alone or with surgical decompression with stabilization of spine by the time they come for rehabilitation, they show good recovery neurologically, functionally with control of bladder by the time they are discharged from rehabilitation. 18 Duration of stay in rehabilitation as outcome measure of rehabilitation was compared between the groups and analyzed. No significant difference was found between the groups (P40.05) in the study.…”

Section: Discussionmentioning

confidence: 99%

Traumatic vs non-traumatic spinal cord lesions: comparison of neurological and functional outcome after in-patient rehabilitation

et al. 2008

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Study design: Retrospective comparative study of 2 years duration. Objectives: To compare neurological and functional outcome and length of stay of persons with traumatic vs non-traumatic spinal cord lesion (SCL) after in-patient rehabilitation. Setting: Neurological rehabilitation department of a tertiary research center in Bangalore, Karnataka, India. Methods: Seventy-six in-patients with spinal cord lesion: traumatic (38 patients, M/F ¼ 34:4) and non-traumatic (38 patients, M/F ¼ 16:22) were admitted for in-patient multidisciplinary neurorehabilitation. ASIA impairment scale, duration of stay (DOS), and admission and dischargeFBarthel Index scores in both the groups were recorded, compared and analyzed. Results: ASIA impairment scale scores were significantly higher in non-traumatic group both at admission and discharge (P ¼ 0.020 and 0.017), respectively, showing lesser impairment in non-traumatic group. DOS for rehabilitation was higher for traumatic group as compared to non-traumatic group (65.97±47.66 vs 60.68±45.69 days), although statistically not significant (P40.05). Barthel Index scores were 28.68 ± 17.15 vs 27.63 ± 14.96 at admission and 54.21 ± 25.10 vs 51.44±19.86 at discharge in traumatic and non-traumatic groups, respectively. All patients (n ¼ 76) showed significant improvement in Barthel Index (P ¼ 0.000), but no statistically significant difference (P40.05) was recorded between the two groups, both at admission and at discharge. Orthoses was required significantly more frequently (P ¼ 0.043) in traumatic SCL group. Conclusions: The study showed that despite more impairment in persons with traumatic spinal cord lesion, there was statistically no significant difference in the length of stay and the functional outcome between persons with traumatic and non-traumatic spinal cord lesion after in-patient rehabilitation.

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Section: Discussionmentioning

confidence: 99%

Traumatic vs non-traumatic spinal cord lesions: comparison of neurological and functional outcome after in-patient rehabilitation

et al. 2008

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“…This opens the gateway for further future study and research to find the cause that why disease localised to lumbar spine is more likely to get surgically intervened. Dae Won et al [8] study also had 44.8% of lumbar vertebra involved. Most of the patients (76%) had only severe mechanical back pain and only 24% patients had neurological deficit at presentation.…”

Section: Discussionmentioning

confidence: 99%

Koch’s spine prevalence and its management modalities: A prospective study of 25 cases

Patel¹,

Tank²,

Patel³

et al. 2018

Int. J. Orthop. Sci.

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Background: A characteristic destructive form of the koch's spine constitutes half of the all musculoskeletal tuberculosis. The root cause of increased incidence in even developed countries described its molecular genetic association. It is of no doubt where overpopulation and overcrowding in developing countries the disease itself is a challenge to healthcare and a burden on incumbent Government. Methodology: We studied 25 patients of koch's spine with various level of vertebral segments involvement with altered neurology and clinical presentations with cold abscesses, 2 or more vertebral collapse, kyphotic deformity, contiguous segment involvement in adult populations. All patients underwent surgery according to level of involvement. Evaluation done with ODI questionnaires. Results: Upper middle socioeconomical patients were of 72%. 2 patients had cervival koch's (8%), 6 patients had dorsal spine (24%), 8 patients had D-L spine (32%) while 9 patients had lumbar spine koch's. Patients with stage II paraplegia was 1(16.67%) while stage III paraplegia were 5(83.33%). 20 patients were treated surgically via posterior approach, 3 patients via antero-lateral approach and 2 patients of cervical spine were treated via anterior approach. Irrespective of approach, 24 patients have excellent outcome. Majority of patients recovered around a year. 3 patients (12%) had Odi Score between 61-80 while 22 patients (88%) had score between 81-100. Conclusion: Predominantly koch's spine affects dorsolumbar region of spinal column confer good result with operative intervention with strict AKT regime in developing countries with a close watch of recurrence and relapse.

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“…Although the development of more accurate imaging modalities such as Magnetic Resonance Imaging (MRI) and advanced surgical techniques have made the early diagnosis and effective management of spinal TB much easier before neurological deficits develop, histopathological confirmation of diagnosis has major role. However, patients can still present late with considerable spine deformity 5 .…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis of Spine- A Study of 15 Cases in 2013 and 2014

Kumari¹,

Vijaya²,

Logarajah³

2015

J Cont Med A Dent

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Surgical results in patients with tuberculosis of the spine and severe lower-extremity motor deficits: a retrospective study of 48 patients

Abstract: A significant proportion of patients with spinal TB and severe motor deficits experience remarkable improvement after surgical decompression and hence should undergo surgery even though they may be suffering from paraplegia of considerable duration.

Cited by 39 publications

References 22 publications

Traumatic vs non-traumatic spinal cord lesions: comparison of neurological and functional outcome after in-patient rehabilitation

Traumatic vs non-traumatic spinal cord lesions: comparison of neurological and functional outcome after in-patient rehabilitation

Koch’s spine prevalence and its management modalities: A prospective study of 25 cases

Tuberculosis of Spine- A Study of 15 Cases in 2013 and 2014

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