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Objective: To determine complications and frequency of failure of anterior cage fixation in TB spine. Design and duration: This is a prospective study. Study was stared in March 2018 and completed in September 2018 comprising on 7 months. Setting: This study was conducted in neurosurgery ward of Jinnah Hospital Lahore. Patients and methods: Patients with tuberculosis spine presented to neurosurgery out-door were admitted in the ward and they were planned for cage fixation. Investigations were done to confirm diagnosis and for anesthesia fitness prior to operation. All investigations were done from within the hospital. Mostly thoraco-lumbar spine was involved and both male and female cases were involved. It was seen that female cases were more than male cases having T.B spine. Family and personal history of tuberculosis was taken then proper physical examination was also done. Data was properly analyzed and results were calculated in the form of frequency and percentage and expressed in the form of tables and graphs. Results: There were total 70 cases involved in this study with tuberculosis of spine. Age range was 15-60 years with mean age of 41.4 years. There were 20(28.6%) cases between 15-25 years, 25(35.7%) between 26-35 years, 11(15.7%) between 36-45 years, 8(11.4%) between 46-55 years and 6(8.6%) cases were having age above 55 years. There were 30(42.8%) male cases and 40(57.2%) cases were female. Due to cage fixation following complications were seen in 16(22.8%) cases out of 70 cases. Wound infection seen in 7(10%) cases, dural tear in 1(1.4%) cases, dyspnea in 3(4.3%), neurological deficiency seen in 3(4.3%) cases, complications of cage used in one case and graft complications seen in one case. Conclusion: Tuberculosis of spine is much common in young age and females are more involved. Mostly thoracolumbar vertebrae are involved. Cage fixation is asurgical procedure of choice with few complications associated with it.

FREQUENCY OF VARIOUS COMPLICATIONS AFTER CAGE FIXATION IN T.B SPINE