Koch’s spine prevalence and its management modalities: A prospective study of 25 cases
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 3
Abstract
Background: A characteristic destructive form of the koch’s spine constitutes half of the all musculoskeletal tuberculosis. The root cause of increased incidence in even developed countries described its molecular genetic association. It is of no doubt where overpopulation and overcrowding in developing countries the disease itself is a challenge to healthcare and a burden on incumbent Government. Methodology: We studied 25 patients of koch’s spine with various level of vertebral segments involvement with altered neurology and clinical presentations with cold abscesses, 2 or more vertebral collapse, kyphotic deformity, contiguous segment involvement in adult populations. All patients underwent surgery according to level of involvement. Evaluation done with ODI questionnaires. Results: Upper middle socioeconomical patients were of 72%. 2 patients had cervival koch’s (8%), 6 patients had dorsal spine (24%), 8 patients had D-L spine (32%) while 9 patients had lumbar spine koch’s. Patients with stage II paraplegia was 1(16.67%) while stage III paraplegia were 5(83.33%). 20 patients were treated surgically via posterior approach, 3 patients via antero-lateral approach and 2 patients of cervical spine were treated via anterior approach. Irrespective of approach, 24 patients have excellent outcome. Majority of patients recovered around a year. 3 patients (12%) had Odi Score between 61-80 while 22 patients (88%) had score between 81-100. Conclusion: Predominantly koch’s spine affects dorsolumbar region of spinal column confer good result with operative intervention with strict AKT regime in developing countries with a close watch of recurrence and relapse.
Authors and Affiliations
Dr. Viraj K Patel, Dr. Parag M Tank, Dr. Vijay J Patel, Dr. Vijay R Sata
Keywords
Related Articles
- EP ID EP487538
- DOI 10.22271/ortho.2018.v4.i3c.28
- Views 90
- Downloads 0
Establishing the efficacy of limb reconstruction system (LRS) in the management of complex long bone non- union: A prospective study
In an urban metropolitan city like Chennai, over the years there has been a steady increase of high velocity RTA’s especially with the number of citizens using two wheelers. In these instances, it is common to encounter...
A study of outcome of autolougous platelet rich plasma injection in patients with chronic plantar fasciitis
Plantar fasciitis is one of the most common musculoskeletal problems in the orthopaedic practice. Any heel pain due to plantar fasciitis persisting will often distress the patient, so right intervention at the right time...
A randomized controlled study of dynamic compression plate (DCP) versus limited contact dynamic compression plate (LC-DCP) in treatment of forearm bone fractures in adults (age 18-60 years)
Background and objectives: Fracture of forearm bone are one of the most common injuries seen in day to day practice. The forearm, in combination with the proximal and distal radioulnar joints, allows pronation and supina...
Evaluation of the functional outcome in open tibial fractures managed with an Ilizarov fixator as a primary and definitive treatment modality
Introduction: Open fractures are rapidly compounding problem for trauma surgeons. Open fractures of leg, which are perhaps the most common among open fracture, were taken as prototype in which extra articular fracture of...
Evaluation of extra-articular distal humerus diaphyseal fractures treated with single pre-contoured locking lateral column plating
Background: A prospective study was done in the Department of Orthopedics in D.Y HOSPITAL, Navi Mumbai from January 2015 to May 2017 to evaluate outcomes of single column plating in extra articular distal comminuted as w...