|JCDR. 2022; 13(1): 483-487
Assessment of efficacy of Transpedicular Decompression and Stabilisation in Patients with Tuberculous Spondylodiscitis with Incomplete NeurologyGurjeet Singh Virdi, Gypsy Gargi, Yugpreet Singh, Rohit Kumar, Subeg Singh.
Background:Tuberculosis [TB] of the spine is still a common infectious disease
entity, not only in developing countries but also returning in developed countries
especially in the immuno-compromised patients. The transpedicular approach
overcomes all these issues as it allows circumferential decompression of neural
elements along with three-column fixation attained via pedicle screws by the same
approach.Hence; under the light of above mentioned data, the present study was
undertaken for assessing the efficacy of Transpedicular Decompression and
Stabilisation in Patients with Tuberculous Spondylodiscitis with Incomplete
Materials & methods:A total of 20 patients were enrolled. Complete demographic
and clinical details of all the patients were obtained. Patients diagnosed with upto 2
segments of spondylodiscitis tubercular were assessed clinically, fucntionally preoperatively
in terms of VAS and ODI scores. Radiologically the pre-operative
kyphosis angle was calculated. Post operatively the patients were assessed
immediately and at 3 and 12 months post operatively. All the results were recorded
and analysed by SPSS software.
Results:Time of bony union was 23.9 weeks. Mean VAS at preoperative, 3 months
postoperative and 12 months postoperative time interval was 8.3, 2.9 and 1.8
respectively. Mean ODI at preoperative, 3 months postoperative and 12 months
postoperative time interval was 38.6, 17.3 and 3.9 respectively. Significant results
were obtained while comparing the mean VAS and ODI at different time intervals.
Conclusion: Long-term neurological improvement is achieved only via the posterior
transpedicular approach in spinal TB patients.
Key words: Spinal, Transpedicular, Tuberculous