STUDY ON RADIOLOGICAL OUTCOME OF TUBERCULOUS SPONDYLODISCITIS TREATED BY POSTERIOR STABILIZATION

Dr.K SENTHIL KUMAR; DR.R. KARTHIK RAJA

Volume : X, Issue : II, February - 2020

STUDY ON RADIOLOGICAL OUTCOME OF TUBERCULOUS SPONDYLODISCITIS TREATED BY POSTERIOR STABILIZATION

Dr. K Senthil Kumar, Dr. R. Karthik Raja

Abstract :

untreated verteal tuberculosis results in neurological complication. chemotherapy remains main stay of treatment in tuberculosis spine. . Laminectomy for TB spine results in spine destabilization and worsening of neurological deficit. Radical deidement and anterior column reconstruction was gold standard surgical procedure .but this procedure involves thoracotomy and large volume of blood loss. and morbidity and mortality associated with this procedure is high This study is done to evaluate the radiological outcome of Tuberculous spondylodiscitis treated with chemotherapy and posterior stabilization. This study is prospective observational study involving a case series of 22 pt with Tuberculous spondylodiscitis who presented in spine out patient department Madurai medical college during the year may 2016 to may 2017 . In our study we followed the patient for 2 year there was a statistically significant change in measures of COBB’s angle , Posterior instrumentation is justified by the fact that posterior elements are relatively healthier when compared to the verteal body. Our prospective observational study on surgical management by posterior stabilization for spinal TB with chemotherapy concluded that the posterior only procedure obtained better radiological outcome