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Skeletal tuberculosis, which amounts for 1-2% cases of all systemic tuberculosis, which is always considered as secondary tuberculosis and is found in patients harboring primary tuberculosis bacilli in any other parts of the body. The most frequent site for extra pulmonary involvement of tuberculosis infection is the vertebral column and in vertebral column most frequent sites of the involvement are the dorsal and lumbar spine. Tuberculosis spine can be managed conservatively and surgically. Over the last few decades researches have mainly concentrated on surgical management of potts spine because of high mortality and post treatment residual deformity associated with conservative treatment. Decompression of spine can be anterior or posterior. Since potts spine involves anterior column of vertebral body in more than 90% cases, anterior decompression is ideal. Decompression can be with or without instrumentation. In this study, analysis of clinico radiological outcome in 25 patients of thoraco lumbar potts spine managed with anterior decompression and stabilisation was done and compared with available literature. All patients with indications of surgery as per middle path regime undergone anterior decompression and stabilization. Pain assessed by VAS score, neurology grading done using Frankel grade and kyphosis angle measurement by modified Cobbs method. These three parameters were statistically analysed preoperatively and post operatively with follow up of six months. All routine pre-anaesthetic blood checkup and pre-operative radiological investigations are done. We found that, in patients of thoraco lumbar potts spine managed with anterior decompression and stabilisation, clinic radiological outcome found to be good and statistically significant.

Analysis of clinico radiological outcome in patients of thoraco lumbar potts spine managed with anterior decompression and stabilisation