Thoracic and lumbar spine Pott's spine surgery results five institutional a multicenter study compares transpedicular decompression with and without general reconstructive surgery

Naeem Ul Haq; Musawer Khan; Mian Iftikhar Ul Haq; Muhammad Idris Khan; Akram Ullah; Bakth Jamal; Zahid Khan

doi:10.53730/ijhs.v6nS7.13839

Authors

Naeem Ul Haq Asstt professor neurosurgery Mardan medical complex, Mardan
Musawer Khan Senior Registrar MTI Mardan Medical Complex, Mardan
Mian Iftikhar Ul Haq
editorsloap@gmail.com
Assistant Professor Neurosurgery Hayatabad Medical Complex Peshawar
Muhammad Idris Khan Assistant Professor Neurosurgery Khyber teaching hospital Peshawar
Akram Ullah Assistant Professor Neurosurgery Prime Hospital Peshawar
Bakth Jamal Assistant Professor City Hospital Peshawar
Zahid Khan associate professor LRH Peshawar

Keywords:

Tuberculosis of the spine, surgical decompression, artificial implants

Abstract

Objectives: The purpose of this study was to compare the radiological and clinical results of transpedicular decompression in spinal TB (also known as Pott's spine) patients who had anterior reconstruction using a polyetheretherketone (PEEK) or mesh cage with those who did not. Little study has been conducted on the long-term effects of transpedicular decompression with and without global reconstruction in Pott's spine. PEEK cages for Pott's spine have also not been shown effective. Methods: This Multicenter study was conducted in the department of neurosurgery MMC Mardan between May 2019 and May 2022. Patients who had surgery for Pott's spine and satisfied the inclusion criteria were retrospectively examined using data from hospital records and an imaging database collected. Results: One hundred and fifteen patients were involved in the research, and their mean age was 45.0617.01 years (55 males, 60 females). These individuals showed improvements on the Visual Analog Scale, the Oswestry Disability Index, and the Cobb angle, all statistically significant improvements (p 0.002). The Cobb angle was corrected more in patients who received anterior reconstruction after surgery (p = 0.041), but they also experienced more blood loss (p = 0.03).

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