Success of Non Operative Treatment in Patients with Spinal Tuberculosis.

  • Muhammad Mujahid Sharif Department of Neurosurgery , Fauji Foundation, Hospital, Rawalpindi
  • Syed Atif Mehmood Kazmi Department of Neurosurgery , Fauji Foundation, Hospital, Rawalpindi
  • Masood Mukhtar Department of Neurosurgery , Fauji Foundation, Hospital, Rawalpindi
  • Adil Aziz Khan Department of Neurosurgery , Fauji Foundation, Hospital, Rawalpindi
  • Bilal Rashid Department of Neurosurgery , Fauji Foundation, Hospital, Rawalpindi
  • Sameen Sajjad Department of Neurosurgery , Fauji Foundation, Hospital, Rawalpindi
  • Sadaf Abbas. Department of Neurosurgery , Fauji Foundation, Hospital, Rawalpindi
Keywords: Spinal tuberculosis, Non operative, anti-tuberculous, Endplate erosion, Paravertebral abscess

Abstract

Background: To determine the success and effectiveness of nonoperative measures in patients with tuberculosis of the spine presenting with or without neurological deficit thus avoiding the surgical intervention.

Methods: Seventy (M=20, F=50) patients were included and the study duration was 02 years. Selected patients were advised strict bed rest and antituberculous therapy (ATT) for 18 months. Surgery was done in those patients who presented with severe neurological deficits or non-operative measures did not produce any improvement.

Results: Pain was the most common presenting symptom (90%). The motor deficit was seen in 60% and incontinence in 10%. On investigations, end plate erosion was seen in 70% , disc and body involvement in 30% , paravertebral abscess in 40 %. Majority of the patients (70%) patients were treated successfully with non-operative measures.

Conclusion: Results are satisfactory in patients who have advised strict bed rest and ATT for 18 months. This helps in reducing the rate of surgical intervention in patients with spinal tuberculosis. It signifies the importance of ATT as it is the mainstay of treatment in spinal tuberculosis.

Published
2018-06-30
How to Cite
Sharif, M. M., Kazmi, S. A. M., Mukhtar, M., Khan, A. A., Rashid, B., Sajjad, S., & Abbas., S. (2018). Success of Non Operative Treatment in Patients with Spinal Tuberculosis. Journal of Rawalpindi Medical College, 22, 116-119. Retrieved from http://journalrmc.com/index.php/JRMC/article/view/876
Section
Articles