• Users Online: 200
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2018  |  Volume : 5  |  Issue : 4  |  Page : 170-173

Surgical outcomes in patients with spinal tuberculosis with severe neurological deficits


1 Associate Professor, Department of Neurosurgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, India
2 Senior Consultant, Dr. L. H. Hiranandani Hospital, Powai, Mumbai, Maharashtra, India
3 Associate Professor, Department of Neurosurgey, SBKS Medical College, Vadodara, Gujarat, India

Correspondence Address:
Bhagawati Salgotra
Associate Professor, Department of Neurosurgey, SBKS Medical College, Vadodara, Gujarat
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10039-1193

Rights and Permissions

Background: To assess the outcome of surgical interventions in patients with spinal tuberculosis who presented late with severe neurological deficits. Materials and methods: Thirty-three patients with spinal tuberculosis with severe neurological deficits who underwent neurosurgical intervention at a tertiary care center from 2012 to 2018 were retrospectively analyzed. The data was collected with regards to age, gender, clinical presentations, Frankel grading at presentation, surgery, and outcomes at follow-up. Results: Thirty-three patients (25 male, 8 female) with the mean age group of 32.2 years were studied. At presentation, all patients had spasticity, 26 (78 %) had bladder involvement. Thirty-two patients showed significant improvement (Frankel D/E) at 1 year follow-up. There was a remarkable improvement in the other symptoms such as pain (95%), spasticity (92%) and bladder symptoms (88%). Only one patient in Frankel grade A showed no good recovery. He had extensive multidrug-resistant systemic tuberculosis with HIV positivity and he expired 9 months post-surgery. Fourteen patients showed recovery in 3 months follow-up and rest showed improvements in 9 to 12 months follow-up. Conclusion: There was a remarkable improvement in the neurological outcome following the surgical decompression. Surgical decompression and fusion is a good option in patients with severe deficits unless the patient is medically unfit. Old age, cord changes, and bladder involvements are the factors which might delay the recovery.


[PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed115    
    Printed18    
    Emailed0    
    PDF Downloaded19    
    Comments [Add]    

Recommend this journal