STUDY ON RADIOLOGICAL OUTCOME OF TUBERCULOUS SPONDYLODISCITIS TREATED BY POSTERIOR STABILIZATION

Abstract

untreated vertebral tuberculosis results in neurological complication. chemotherapy remains main stay of treatment in tuberculosis spine. . Laminectomy for TB spine results in spine destabilization and worsening of neurological deficit. Radical debridement  and anterior column reconstruction was gold standard surgical procedure .but this procedure involves thoracotomy and large volume of blood loss. and morbidity and mortality associated with this procedure is high This study is done to evaluate the radiological  outcome of  Tuberculous  spondylodiscitis treated with chemotherapy and posterior stabilization. This study is prospective observational study involving a case series of 22 pt with Tuberculous spondylodiscitis   who presented in spine out patient  department  Madurai medical college during the year may 2016 to may 2017 . In our study we followed the patient for 2 year there was a statistically significant change in measures of  COBB’s angle , Posterior instrumentation  is justified by the fact that posterior elements are relatively healthier when compared to the vertebral body. Our prospective observational study on surgical management by  posterior stabilization for  spinal TB with chemotherapy  concluded that the posterior only procedure obtained better radiological  outcome .