Open AccessThe outcome of Posterio-lateral Decompression and Transpedicle Fixation for Thoracic Spine Tuberculosis
Author(s) -
Zinobia Khan,
Seema Sharafat,
Muhammad Usman,
Farooq Azam,
Pir- Tufail Ahmad,
Shumaila Gul,
Azizur Rehman
Publication year - 2022
Publication title -
pakistan journal of neurological surgery
Language(s) - English
Resource type - Journals
eISSN - 2409-5567
pISSN - 1995-8811
DOI - 10.36552/pjns.v25i4.612
Subject(s) - medicine , surgery , thoracic spine , decompression , tuberculosis , neurosurgery , thoracic vertebrae , fixation (population genetics) , lumbar vertebrae , lumbar , population , environmental health , pathology
Objective: The study assessed the outcome of posterio-lateral decompression and trans-pedicle fixation for thoracic spine tuberculosis.
Materials and Methods: An observational, cross-sectional study was conducted at the Department of Neurosurgery, Lady Reading Hospital, Peshawar. All those patients who had undergone posterio-lateral decompression and trans-pedicle fixation for thoracic spine tuberculosis were included. Both genders with ages more than 14 years were included in our study. Ethical committee approval was taken. Pre-designed proforma was used for data entry. Patients’ data were analysed through SPSS software.
Results: A total of 31 patients with tuberculous spondylodiscitis were studied. The age ranged from 15 – 57 years with a mean of 37.74 ± 10.07 years. Most of the patients with thoracic TB were male 54.8% (17/31). Pain improved in all the patients and neurology improved in most of the cases. The dural tear was in one patient and one patient had a wound infection. There was no mortality.
Conclusions: We conclude from the study that posterior-lateral decompression and trans-pedicle fixation for thoracic spine tuberculosis is a safe procedure. It has good results in terms of pain relief and neurological improvement. This procedure has an acceptable complications rate. Therefore, it can be considered as a better alternative to other surgical procedures for thoracic spine tuberculosis.