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ORIGINAL ARTICLE
Year : 2018  |  Volume : 5  |  Issue : 1  |  Page : 18-22

Determinants of neurological outcome in surgically treated patients of pott's spine


1 Senior Resident, Department of Neurosurgery, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
2 Assistant Professor, Department of Neurosurgery, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
3 Senior Consultant, Department of Neurosurgery, Vivekananda Polyclinic & Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Correspondence Address:
Kaif Mohammad
Assistant Professor, Department of Neurosurgery, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10039-1163

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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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