An Analysis of Treatment and Prognosis
of Spinal Tuberculosis: A Prospective
Study done in Tertiary Care Centre
Published: June 1, 2020 | DOI: https://doi.org/10.7860/JCDR/2020/44701.13785
Shubhendu Gupta, Harsh Pratap Shishodia, Varun Singh
1. Associate Professor, Department of TB and Chest, Saraswathi Institute of Medical Science, Hapur, Uttar Pradesh, India.
2. Assistant Professor, Department of Orthopaedics, Saraswathi Institute of Medical Science, Hapur, Uttar Pradesh, India.
3. Assistant Professor, Department of Orthopaedics, Saraswathi Institute of Medical Science, Hapur, Uttar Pradesh, India.
Correspondence
Dr. Varun Singh,
Department of Orthopaedics, Saraswathi Institute of Medical Science, NH-24,
Anwarpur, Pilakhuwa, Hapur-245304, Uttar Pradesh, India.
E-mail: drvarunsingh@yahoo.com
Introduction: In cases of skeletal Tuberculosis (TB), spinal TB is considered to be the most hazardous. Early treatment of spinal TB brings somewhat fine projections as well.
Aim: To evaluate the treatment and prognosis of patients with spinal TB.
Materials and Methods: The study involved patients with spinal TB from the period of 2017 to 2019. The total of 67 patients were included and follow-ups were made during the entire period of healing. Patients diagnosed with spinal TB and had not previously received anti-TB therapy and debridement or radical decompression surgery were included. A paired t-test was used to compare the pre-treatment and post-treatment clinical data. A p-value <0.05 was considered statistically significant.
Results: The male patients comprised of the 62.7% of the total sample size. At the final follow-up, the Visual Analogue Scale (VAS) score significantly improved from 5.99±2.11 preoperatively to 1.90±4.81 postoperatively (0<0.05), the Cobb angle significantly decreased from 16.84±6.42 preoperatively to 3.86±2.26 postoperatively (0<0.05). The Erythrocyte Sedimentation Rate (ESR) significantly decreased from 45.26±12.26 preoperatively to 9.91±6.48 postoperatively (0<0.05), and C-Reactive Protein (CRP) also significantly decreased from 49.22±42.31 to 9.84±11.53.
Conclusion: Quick treatment and diagnosis of spinal TB are essential to prevent permanent neurological disability and to minimise spinal deformity.
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