Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Spine
Abstract number: 26434
TREATMENT OF DORSAL SPINE TUBERCULOSIS THROUGH POSTERIOR
APPROACH
Dharmendra SINGH
Indian Spinal Injuries Center, New Delhi (INDIA)
Introduction: An anterior decompression followed by posterior instrumentation and
anterior bone grafting is an acceptable procedure for dorsal and dorsolumbar
tuberculosis. In this technique mostly patients needed intensive care post-operatively
until their general condition become stable. In this study we want to analyse
decompression and debridement by costo transverse and transpedicular route and
posterior fixation through only posterior midline approach as an alternative
procedure. Material and method: The study was conducted at Indian spinal injuries
centre, New Delhi during a period from August 2006 to January 2008. Group A
patients were operated through only posterior approach, they were 13 in number;
while Group B patients were operated through combined anterior and posterior
approach, they were 10 in number. Clinical and radiological analysis of all patients
were done Observation In our study mean operative time in Group A was less
compare to Group B. The mean blood loss was less in Group A patients. The
Kyphosis angle measured at the time of last follow up was found to be11.50 in Group
A while 10.22 in Group B patients. In Group patients rehabilitation was started early
from post operative day onecompare to group B. Conclusion: This study concludes
that Long-term results for neurological improvement are comparable in both groups.
With only posterior approach Intraoperative bleeding and surgery duration is less in
comparison to combined anterior and posterior approach. Post operative morbidity is
less with only posterior approach in comparison to combined anterior and posterior
approach.
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