A STUDY OF 34 CASES OF POTT’S PARAPLEGIA WITH ANTERIOR SPINAL DECOMPRESSION & STABILISATION WITH RIB GRAFT ALONE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 22
Abstract
[b] BACKGROUND[/b]: Spinal tuberculosis is mostly secondary to either Pulmonary or Abdominal lesions, and may result in Paraplegia either due to pressure effects of the cold abscess or due to collapse of the vertebra. Most of the patients with Grade I and II paraparesis respond well to chemotherapy, while Grade III and IV patients and some of the patients in Grade I and II who do not respond to chemotherapy need Spinal decompression to prevent irreparable damage to the Spinal cord.[b] MATERIALS AND METHODS[/b]: This study comprises 34 patients in Grade III and IV paraplegia who did not respond to 3-4 weeks of chemotherapy and rest or deteriorated during treatment. They were treated by anterior trans-thorasic and trans-pleural spinal decompression by partial or total carpectomy depending on the extent of involvement of the bodies and anterior spinal fusion using rib graft alone, during the period Feb. 2007 to May 2013, in Government General and Chest hospital, Osmania Medical College, Hyderabad. [b]RESULTS:[/b] Out of 34 patients complete neurological recovery was seen in 32 patients, 1 patient had partial recovery while 1 patient died of post-operative complications. [b]CONCLUSIONS[/b]: Anterior spinal decompression and stabilization using rib graft alone is a good choice of surgical treatment in terms of neurological recovery, healing of the lesion, and is a cost-effective treatment option for the patient. Post-operative rehabilitation is also early.
Authors and Affiliations
Ravindranath V. S, Prasad V. K. V, Srinivas B
Keywords
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- EP ID EP148660
- DOI 10.14260/jemds/2015/552
- Views 65
- Downloads 0
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