ROLE OF POSTERIOR TRANSPEDICULAR SCREW FIXATION SURGERY IN SPINAL TUBERCULOSIS: CLINICAL ANALYSIS AND SURGICAL OUTCOMES

Abstract

Background; Spinal tuberculosis is a very serious kind of skeletal tuberculosis which occurs very frequently in adults. The basic objective of the study is to trace out the chances of safety and efficacy by treating the monosegmental lumbar tuberculosis in adults through one-stage posterior debridement and transpedicular screw fixation. Material and Methods; About 41 patients were observed retrospectively during this study. The imagery data, numerical data for mean surgery time, loss of blood during surgery, VAS Score, preoperative complications, bony fusion time and preoperative & postoperative neurological function was gathered. Results; Mean follow up period was observed about 13.6 ±2.7 months. The rate of cure after surgery was maximum in patients and no chances of recurrence were observed. Neurological outcome did not change in one case with grade A and increased by 1 to 3 grades in other patients with nerve deficit. The mean preoperative VAS score was 9.2 ± 2.13 and mean postoperative VAS score was 2.5 ± 1.32, respectively; and the difference was also significant (