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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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The Prospective Study to Evaluate Clinico‐Radiological Features, Surgical Outcomes and Prognostic Factors in Patients with Dorsal and Lumbar Spinal Tuberculosis

Rakesh Faujdar, Anand Sharma, Avinash Sharma, Mayank Jeswani and Akash Chhari
Page: 17-22 | Received 26 Mar 2024, Published online: 30 May 2024

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https://doi.org/10.36478/10.36478/makrjms.2024.7.17.22

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Abstract

Spinal tuberculosis, also known as Pott's disease, remains a significant health concern worldwide, with potential for severe neurological deficits if not promptly diagnosed and treated. While surgical intervention plays a crucial role in managing advanced cases, the optimal surgical approach and long‐term outcomes remain subjects of debate. The posterior transpedicular technique has emerged as a promising option, but comprehensive studies evaluating its efficacy are lacking. We conducted a prospective observational study at the Department of Neurosurgery, J.A. Group of Hospitals and G.R. Medical College, Gwalior, MP, from 2022 ‐2024. Patients aged 18 and above with dorsal and lumbar spinal tuberculosis undergoing surgical intervention were included. Data on demographic, clinical, radiological, surgical follow‐up parameters were collected and analyzed using appropriate statistical methods. Thirty patients were included, predominantly middle‐aged with equal gender distribution. Dorsal regions were most commonly affected, with a high prevalence of preoperative anti‐tubercular treatment. Posterior transpedicular surgery led to significant improvements in neurological status, kyphotic angle, pain functional disability, as evidenced by changes in AIS scale, kyphotic angle measurements VAS scores. The posterior transpedicular approach demonstrated favorable outcomes in patients with dorsal and lumbar spinal tuberculosis, including improved neurological function and radiological parameters, reduced pain enhanced fusion rates. While further randomized clinical trials with larger sample sizes and longer follow‐up periods are warranted for validation, our study highlights the potential benefits of this surgical technique in the management of spinal tuberculosis.

How to cite this article:

Rakesh Faujdar, Anand Sharma, Avinash Sharma, Mayank Jeswani and Akash Chhari. The Prospective Study to Evaluate Clinico‐Radiological Features, Surgical Outcomes and Prognostic Factors in Patients with Dorsal and Lumbar Spinal Tuberculosis.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.17.22
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.17.22