THE EVALUATION OF THE CLINICAL RESULTS OF THE PATIENTS WITH SPINAL TUBERCULOSIS
Journal Title: Journal of Turkish Spinal Surgery - Year 2008, Vol 19, Issue 1
Abstract
Recently, cases with tuberculosis were seen increasingly in our country. Consequently, spinal tuberculosis was also increased. In the current study, we evaluated that development of deformity and neurological recovery of patients with spinal tuberculosis diagnosed by clinical, radiological and laboratory findings. The 41 patients (20 female, 21 male) with spinal tuberculosis; their mean age was 29 years (range 18-80 years) and follow-up duration was average 40 months (range 1-36 months) were retrospectively reviewed. Four cases were treated conservatively with antituberculosis medication plus ambulatuar treatment with plaster of paris jacket for 6 months. Thirty-seven cases were treated with surgically; 32 of them were taken antituberculosis drug therapy together with anterior radical debridman with anterior fusion and 5 patients were treated with posterior fusion plus instrumantation in addition to previous therapy. Neurological status of the patients at pre- and post-treatment were considered based on Frankel neurological staging while kyphotic deformities were evaluated by using measurement of local kyphosis angle and sagittal indexes. Although 29 of 41 patients had neurological deficit before the treatment; 26 of them (89.6%) were completely improved whereas 3 patients (10.4%) were seen improvement only one grade according to Frankel staging at the last follow-up visit. Baseline sagittal indexes were mean 19±5° in the patients treated conservatively whereas it was 23±3° at last follow-up. Improvement on sagittal index was 71% in patients who were treated with only anterior intervention while it was 83% in patients who were performed anterior plus posterior combined intervention. None of the patients had complication needed additional surgical procedure and recurrence. The results showed that effectiveness and type of treatment procedures which was applied in addition to chemotherapy spinal tuberculosis were associated with age of patient, amount of involved vertebra and abscess presence which can be caused neurological deficit.
Authors and Affiliations
Özdamar Fuad ÖKEN, Ahmet Özgür YILDIRIM, Murat GÜLÇEK, Vuslat Sema ÜNAL, Korhan ÖZLÜ, Ahmet UÇANER
Keywords
Related Articles
- EP ID EP676534
- DOI -
- Views 96
- Downloads 0
THE ACCURACY OF COMPUTERIZED TOMOGRAPHYIN CLASSIFYING THE PENETRATIONS OF THE SCREWS INSERTED IN THE LUMBAR VERTEBRAE USING THE FUNNEL TECHNIQUE, THROUGH THE PEDICLES AND THE CORPUS AS CRITICAL OR NON-CRITICAL
Objective: Procedures about spinal surgery are generally stili performed with conventional techniques using anatomical landmarks due to high costs, long operating processes and difficult techniques of navigation syste...
POSTDECOMPRESSION LUMBAR İNSTABİLİTY
34 patients who had degenerative lumbar stenosis underwent total laminectomy and bilateral medial facetectomy were studied ciinically and radiographicaUy. The patients were invited to our outpatient clinic at the mean of...
TERATOMA OF THE SPINAL CORD: A CASE REPORT
Intradural spinal teratomas are very rare dysembriogenetic tumors. We present an intra-dural extramedullary spinal teratoma without spinal dysraphism. Poeze et al. reported 83 spinal teratomas from the literature review...
EDITORIAL,
Dear Colleagues, We are happy to reach the first issue of 2013. First of all, I wish a happy New Year to all my colleagues and their families, and I wish the New Year to bring happiness, health and peace. As you know,...
PREVALENCE OF SPINA BIFIDA IN PATIENTS TREATED SURGICALLY FOR PILONIDAL SINUS DISEASE
Patients with posterior fusion defects such as spina bifida and meningomyelocele are known to have a high incidence of perianal and sacrococcygeal cutaneous problems, especially pilonidal sinus disease. Therefore, we aim...