“Experience of Anterior debridement, decompression, bone grafting, and instrumentation for lower cervical spine and upper dorsal Pott's spine.”

Ajaydeep Singh, G. S. Bindra, Arvinpreet Kour

Abstract


BACKGROUND Spine tuberculosis is very common in the Indian people with high morbidity, although the Govt. of India has included treatment of the spine tuberculosis in pulmonary tuberculosis programme, the burden of the patients remained high.

MATERIAL AND METHOD. Twenty patients with cervical and upper dorsal Pott’s spine were operated with anterior debridement, decompression, bone grafting, and instrumentation and were given ATT after wards and were followed for 6 months.

OBSERVATION AND RESULTS. Seventeen ( 85.0%) of patients showed excellent-to-good results.  The fusion rates for 1-level and 2-level anterior cervical corpectomy, and for anterior plate fixation were 100%. There were no postoperative deterioration neurologically and had minimum complication which resolved over weeks’ time.

CONCLUSION. The improved fusion rate, low cost of the treatment with lower complication rates associated with anterior cervical plating may justify its use in the treatment of cervical and dorsal Pott’s associated myelopathies as the burden of tuberculosis in our country is large.


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