EFFICACY AND CLINICAL RESULTS OF INTRUMENTATION IN SPINE SURGERY

Objectives: Our aim is to know the instrumentation efficacy in the caries column of spine and to know clinical results of patients treated with this type of protocol. Study design: A cross sectional Retrospective study Place and Duration: The study was held in the Orthopedic Department Unit I of Bahawal Victoria Hospital, Bahawalpur for the period of one year from December 2016 to December 2017. Materials and Methods: In the management of the vertebrae, 36 patients (21 females, 15 male) with an average age of 33 were undergo surgical intervention. Debridement of the affected spinal field was performed, followed fusion in all patients and by instrumentation. Surgical indications were medical treatment response, persisting instability and pain, progressive angular deformity and neurological deficit of the spine for three months. Antituberculosis therapy continued for 1 year postoperatively. By phone over the contact numbers given to them at the time of application all patients were approached and for evaluation the patients were called to the hospital. 31 patients were included in the study after informed consent. After 24 months of surgery The Oswestry Disability Index (ODI) was calculated for every patient. Findings: In 2 out of 31 patients (6.6%), according to Oswestry disability index there was no disability. 23 patients (73.3%) were mildly disabled, and moderate disability occurs in 4 patients (13.3%). 1 patient was disabled completely and 1 had severe disability. Conclusion: Long term functional outcome of spinal instrumentation for treatment of Tuberculous spondylitis is a good. Key words: Instrumentation, Disability, Caries.