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VOLUME 5 , ISSUE 1 ( January-March, 2018 ) > List of Articles

Original Article

Determinants of Neurological Outcome in Surgically Treated Patients of Pott's Spine

Faran Ahmad, Kaif Mohammad, Tarun Pandey

Keywords : Determinants, Neurological recovery, Pott's spine, Surgical intervention

Citation Information : Ahmad F, Mohammad K, Pandey T. Determinants of Neurological Outcome in Surgically Treated Patients of Pott's Spine. J Spinal Surg 2018; 5 (1):18-22.

DOI: 10.5005/jp-journals-10039-1163

License: CC BY-NC 4.0

Published Online: 01-04-2019

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Introduction: Surgery for Pott's spine is a controversial issue with respect to the unpredictable outcome. In this, we made an attempt to evaluate the factors that determine a role in determining the neurological results of surgery. Materials and methods: Thirty patients who underwent any surgical procedure for Pott's spine were included in the study. Demographic, clinical, hematological, and radiological profiles were noted. Drainage of abscess/debridement/posterior decompression, and stabilization; radical debridement and bone grafting and radical debridement, bone grafting, and instrumentation were the surgical interventions done. All the patients were followed up for minimum 9 months. The outcome was noted as partial neurological recovery (PNR), near complete neurological recovery (NCNR), and complete neurological recovery (CNR). Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 21.0. Results: At the last follow-up, majority had NCNR (53.3%), followed by PNR (33.3%) and CNR (13.3%). Illness duration. 3 months, presence of sphincter disturbance, and McCormick grade III/IV were significantly associated with PNR (p < 0.05). Conclusion: The findings of the study indicate that duration of illness and few clinical factors might be associated with poor outcome in patients of Pott's spine who underwent surgery.


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  1. Owolabi LF, Nagoda MM, Samaila AA, Aliyu I. Spinal tuberculosis in adults: a study of 87 cases in Northwestern Nigeria. Neurol Asia 2010;15(3):239-244.
  2. Hodgson AR, Stock FE. Anterior spinal fusion for the treatment of tuberculosis of the spine. J Bone Joint Surg 1960; 42A:295-310.
  3. Khoo LT, Mikawa K, Fessler RG. A surgical revisitation of Pott distemper of the spine. Spine J 2003 Mar-Apr;3(2):130-145.
  4. Medical Research Council Working Party on Tuberculosis of the Spine. A controlled trial of anterior spinal fusion and debridement in surgical management of tuberculosis of the spine in patients on standard chemotherapy: a study in Hong Kong. Br J Surg 1974 Nov;6(11):853-866.
  5. Manzano G, Green B, Vanni S, Levi AD. Contemporary management of adult intramedullary spinal tumors—pathology and neurological outcomes related to surgical resection. Spinal Cord 2008 Aug;46(8):540-546.
  6. Bashir U. Osteoporotic spinal compression fracture. Available from: https://radiopaedia.org/articles/osteoporotic-spinalcompression- fracture (accessed April 5, 2017).
  7. Gokce A, Ozturkmen Y, Mutlu S, Gokay NS, Tonbul M, Caniklioglu M. The role of debridement and reconstruction of sagittal balance in tuberculous spondylitis. Indian J Orthop 2012 Mar-Apr;46(2):145-149.
  8. Laopakdee P. Anterior radical debridement and interbody arthrodesis with strut grafting without instrumentation for treatment of thoracolumbar spinal tuberculosis. Khon Kaen Med J 2010;34(2):27-32.
  9. Lifeso RM, Weaver P, Harder EH. Tuberculous spondylitis in adults. J Bone Joint Surg Am 1985 Dec;67(9):1405-1413.
  10. Akinyoola AL, Adegbehingbe OO, Ashaleye CM. Tuberculosis of the spine in nigeria: has anything changed? Int J Third World Med 2007;4(1).
  11. Su SH, Tsai WC, Lin CY, Lin WR, Chen TC, Lu PL, Huang PM, Tsai JR, Wang YL, Feng MC, et al. Clinical features and outcomes of spinal tuberculosis in southern Taiwan. J Microbiol Immunol Infect 2010 Aug;43(4):291-300.
  12. Nambiar M, Kavar B. Clinical presentation and outcome of patients with intradural spinal cord tumors. J Clin Neurosci 2012;19(2):262-266
  13. Jain AK, Dhammi IK, Jain S, Mishra P. Kyphosis in spinal tuberculosis—prevention and correction. Indian J Orthop 2010 Apr;44(2):127-136.
  14. Jain AK, Maheshwari AV, Jena S. Kyphus correction in spinal tuberculosis. Clin Orthop Relat Res 2007 Jul;460:117-123.
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